MANUAL 


FOR  THE 


MEDICAL  DEPARTMENT 


UNITED  STATES  ARMY 


1916 


CORRECTED  TO  JUNE  15,  1918 
(Changes  Nos.  1  to  8) 


WASHINGTON 

GOVERNMENT  PRINTING  OFFICE 

1918 


BrOLOGY 
LIBRARY 


f^'- 


War  Department, 

Office  of  the  Chief  op  Staff, 

Washington,  February  10,  1916. 

This  Manual  is  published  for  the  information  and  government  of  the  Regular  Army 

and  Organized  Militia  of  the  United  States. 

By  order  of  the  Secretary  of  War: 

H.  L.  Scott, 

Major  General,  CMej  oj  Staff. 


The  regulations  in  this  Manual  are  only  a  part  of  the  general  body  of  regulations 
with  which  the  medical  officer  must  acquaint  himself.  For  regulations  general  in 
nature,  or  which  affect  other  branches  of  the  ser\ice,  he  should  consult  the  Army 
Regulations  properly  so  called.  In  addition  special  reference  is  necessary,  for  pre- 
cise information  on  the  subjects  with  which  they  deal,  to  the  manuals  for  the  other 
staff  departments,  to  the  Drill  Regulations  and  Service  Manual  for  Sanitary  Troops, 
to  the  Field  Service  Regulations,  to  the  Tables  of  Organization,  to  the  Manual  for 
Courts-Martial,  to  the  Army  Transport  Ser^dce  Regulations,  to  the  Manual  of  Pack 
Transportation,  to  the  Regulations  of  the  War  Department  Governing  the  Organized 
Militia,  to  the  Regulations  for  the  United  States  Military  Academy,  to  the  Small  Arm3 
Firing  Regulations,  to  the  Manual  of  Interior  Guard  Duty,  to  the  Regulations  for  the 
Uniform  of  the  United  States  Army,  to  the  Rules  of  Land  Warfare,  etc.  Regulations 
for  the  Examination  of  Officers  for  Promotion,  Post  Exchange  Regulations,  Rules  for 
the  Examination  of  Recruits,  Regulations  Regarding  the  Examination  and  Appoint- 
ment of  Persons  in  Civil  Life  to  be  Second  Lieutenants  in  the  Army,  etc.,  are  pub- 
lished in  general  orders  from  time  to  time.  An  index  reference  to  these  and  other 
general  orders  of  interest  to  the  medical  officer  will  be  found  in  the  app'endix  to  this 
Manual. 


386030 


TABLE  OF  CONTENTS. 


Part  I. — General  Medical  Administration. 

Par. 

Article  I. —  The  Medical  Department,  its  organization  and  personnel 1-130 

Organization 1 

Medical  Corps 2-13 

Medical  Reserve  Corps 14-19 

Dental  Corps 20-32 

Hospital  Corps 33-50 

Contract  surgeons 51-55 

Nurse  Corps 56-102 

Civilian  employees 103-130 

Article  II. — Education  and  training 131-181 

Library,  Surgeon  General's  Office 132-133 

Army  Medical  Museum 134-135 

Army  Medical  School 136-146 

The  Ai-my  Field  Service  and  Correspondence  School  for  Medical  Officers.  147 

Field  problems  for  medical  officers 14&-153 

Instruction  in  hygiene 154 

Instruction  in  first  aid 155 

Training  of  the  Hospital  Corps,  general 156 

Field  hospitals  and  ambulance  companies 157-166 

Hospital  Corps  detachments 167-180 

Instruction  in  the  field 181 

Article  III. — Sanitation 182-203 

Infectious  diseases 183-200 

Reports  of  epidemic  diseases 201-203 

Article  IV. — Hospitals  and  medical  attendance 204-350 

Service  of  hospitals,  general 205-279 

Post  hospitals 280-281 

Department  hospitals 282 

General  hospitals 283-316 

Army  and  Navy  General  Hospital 317-333 

General  Hospital,  Fort  Bayard,  N.  Mex 334-344 

Medical  attendance 345-350 

Article  V. — Departnunt  laboratories 351-360 

Secretions,  excretions,  and  tissues 352-355 

Water 356-360 

Article  VI. — Duties  of  medical  officers 361-381 

General " 361-363 

Department  surgeons 364-370 

Department  sanitary  inspectors 371-374 

Attending  surgeons 375-376 

Disbursing  officers 377-379 

Medical  supply  officers 380 

Medical  officers  of  the  transport  service 381 

5 


6  ,     .TABI.?,  OF    CONTEXTS. 

Par. 

Article  VII. — Phi/sical  examinations 382-397 

Cadet  candidates  and  cadets 382-383 

Candidates  for  commission 384-385 

Oiiicers — Examinations  for  promotion,  retirement,  leave  of  absence,  the 

a^•iation  ser^-ice,  and  annual  examinations 386-390 

Applicants  for  enlistment 391 

Enlisted  men — Recruits,  desertei«,  iot  discharge,  for  a-\dation  servdce 392-395 

Other  examinations 396 

Vision,  color  sen^,  and  hearing 397 

Article  VIII. — Records,  reports,  andr£turns 398^73 

List  of  reports  and  returns 398 

List  of  records 399 

Mode  of  keeping  and  authenticating  reports,  returns,  and  records 400 

Reports  of  births  and  deaths 401 

Correspondence  records 402-406 

Clinical  records 407-411 

Medical  history  of  post —  412 

Reports  pertaining  to  personnei 413 

Sanitary'  reports 414-417 

Surgical  reports 41 8-420 

Special  reports  and  articles  for  publication 421-423 

Report  of  Medical  Department  passengers  on  transports 424 

Repents  and  records  on  abandonmeiit  of  posts 425 

Disposition  of  old  records 426 

Register  and  report  of  sick  and  wounded .' 427^64 

Register  of  dental  patients  and  report  of  dental  work 405^73 

Article  iX. — Supplies  and  Tnajterials 4 74-527 

General  iTro^dsions 474-476 

Requisitions 477-495 

Transfer  of  medical  supplies 49G-500 

Accountabilitj' 501-503 

Distribution  of  field  medical  supplies  in  time  of  peace 504-506 

Returns  of  medical  property - 507-508 

Sales 509-510 

Disposition  of  medical  property  on  abandonment  of  posts 511 

Tse  and  care  of  medical  propertj' 512-526 

Meteorological  instruments 527 

Part  II. — The  Sanitary  Service  in  War. 

ARTiriJE  X. — The  sanitary  service  in  war — General 528-586 

Administrative  zones 528-529 

Objects  of  Medical  De}iartment  administration 530 

Duties  of  the  Medical  Department 531 

Personnel  of  the  sanitary  service 532-533 

Titles  of  medical  officers 534 

Organized  voluntary  aid - 535-536 

Individual  voluntaiy  aid 5;?7-541 

Insignia  of  sanitary  personnel,  formations,  and  materiel 542-546 

Status  of  sanitary  personnel  and  materiel 547-549 

Gaiards  for  the  sanitary  service - 550 

Medical  supplies -. 551-555 

Correspondence,  reports,  returns,  and  records 556-584 

Organization  of  the  Medical  Department  in  war 585-586 


TABLE   OF   CQNTENTS.  7 

Par. 

Aeticle  XI. —  The  service  oj  the  interior 587-626 

General 587-591 

Mobilization  camps - 592-597 

Concentration  camps 598-601 

Camp  hospitals 602-605 

General  hospitals 006 

Convalescent  camps 607-608 

Hospitals,  ports  of  embarkation 609 

Surgeons,  ports  of  embai'kation 610 

Hospitals  for  prisoners  of  war 611 

Medical  supply  depots 612 

Hospital  trains  and  trains  for  patients 613-617 

Rest  stations 618 

Hospital  ships  and  ships  for  patients 619-625 

Sanitary  inspectors 626 

Article  XII. —  The  theater  of  operations— General 627-629 

Requirements  for  an  efficient  sanitary  service 627-629 

Article  XIII. —  The  zone  oj  the  advance 630-750 

Classification  of  the  sanitary  service 630 

Sanitary  troops  on  duty  with  line  organizations 631-650 

The  sanitary  train 651-715 

The  administration  of  the  sanitary  service  of  the  divi.non 716-750 

Article  XIV. — The  line  oj  communications 751-827 

General 751-756 

The  base  hospital 757-765 

The  convalescent  camp 766 

The  contagious-disease  hospital 767-768 

Trains,  boats,  and  ships 769-772 

Casual  camps  for  sanitary  troops. 773 

Sanitaiy  squads 774-777 

Field  laboratories 778-779 

Rest  stations 780-781 

The  base  medical  supply  depot 782-786 

The  advance  medical  supply  depot 787-792 

The  evacuation  hospital 793-803 

The  evacuation  ambulance  company 804-812 

Administration 813-827 

Article  XV. — Administration  oj  the  sanitanj  service  oj  the  theater  oj  operations. .  828-830 
The  chief  surgeon  of  a  field  army 828-830 

Article  XVI. — Resume  oj  the  operations  oj  the  sanitary  service  in  war 831-841 

Part  III. — Supply  Tables. 

Article  XVII.— Pos<  supply  tables 842-848 

Medicines,  antiseptics,  and  disinfectants 843 

Stationery 844 

Miscellaneous  supplies 845 

Laboratory  supplies 846 

Identification  supplies 847 

X-ray  supplies 848 

Article  XVIII. — Dental  supply  tables 849-856 

Portable  outfit 854 

Base  outfit 855 

Additional  supplies 856 


8  TABLE    OF    CONTEXTS. 

Par. 

Article  XIX.— Field  supply  tables 857-901 

Individual  equipment,  medical  officer 864 

Individual  equipment,  Hospital  Corps 865 

Regimental  combat  equipment 866-868 

Camp  infirmary 869-870 

Camp  infirmary  reserve 871 

Regimental  hospital 872 

Weight  carried  by  camp  infirmary  wagon 873 

Ambulance  company 874-878 

Field  hospital 879-883 

Division  surgeon's  office 884-885 

Camp  hospitals 886-888 

Evacuation  hospital,  base  hospital,  and  medical-reserve  unit 889-892 

Base  medical  supply  depot 893-894 

Advance  medical  supply  depot 895 

Field  laboratory 896 

Evacuation  ambulance  company 897 

Hospital  ships  and  ships  for  patients 898 

Hospital  trains  and  trains  for  patients 899-900 

Office  of  the  chief  surgeon,  field  army,  and  of  the  surgeon,  base  group. ..  901 

Article  XX. — Formulse,  contents  of  chests,  cases,  etc 902-959 

Formulae  of  nonofficial  compound  medicinal  preparations  listed  in  the 

supply  tables "O-* 

Contents  of  chests,  cases,  etc.,  and  spare  parts - 903-959 

Article  XXI.— Blank  forms 960-965 

Medical  Department 961 

Adjutant  General's  Office 962 

Quartermaster  Corps 963 

Ordnance  Department 964 

Inspector  General's  Department 965 

Appendix. 


PART  I. 

GENERAL  MEDICAL  ADMINISTRATION. 


AUTICLE    I.— THE    MEDICAL    DEPARTMENT,    ITS 
OBGANIZATION  AND  PERSONNEL. 

ORGANIZATION. 

1.  The  Medical  Department,  under  the  act  of  Congress  approved 
April  23,  1908  (35  Stats.,  6G.;  G.  O.  67,  1908),  as  modified  by  the  act 
of  March  3,  1911  (3^  Stats.,  1054;  G.  O.  45,  1911),  establishing  the 
Dental  Corps,  -consists  -oi  the  Medical  Corps,  the  Medical  Eeserve 
Corps,  the  Dental  Corps,  the  Hospital  Coqis,  and  the  Nurse  Coi-j^s, 
to  which  may  be  -added  the  contract  surgeons  employed  by  virtue 
of  the  provisions  oi  the  aot  of  February  2,  1901  (31  Stats.,  752;  G,  O. 
9,  1901),  and  other  civiMaiis  employed  from  time  to  time  under  tiie 
authority  of  the  annual  appropriation  acts.  The  genera;l  duties  of 
the  department  are  pointed  out  in  Army  Regulations. 

MEDICAL   CORPS. 

2.  Exti^act  from  the  act  of  April  23,  1908  (35  Stats.,,  wy. 

Sec.  2.  That  the  Medical  Oorpa  r^rail  -ccxnsist  of  one  Sm-geon  Greneral,  ^ith  rank  of 
brigadier  general,  who  shall  be  chief  of  the  Medical  Department;  fourteen  colonels, 
twenty-four  lieutenant  colonels,  one  hundi-ed  and  five  laajora,  and  throe  hundi'ed 
captains  or  first  lieutenants,  who  shall  have  rank,  pay,  and  allowances  of  ofRcei-s  of 
corresponding  grades  in  the  'Cavalry  arm  of  the  sei'viee.  Immediately  following  tlie 
approval  of  tins  act  all  officei-s  of  the  Medical  Department  then  in  active  ser\ice,  other 
than  the  Surgeon  General,  shall  be  recommissioned  in  the  corresponding  grades  in 
the  Medical  Corps  established  by  this  act  in  the  order  of  their  seniority  and  without 
loss  of  relative  rank  in  the  Army  as  follows:  Assistant  surgeons  general,  with  the  rank 
of  colonel,  as  colonels;  deputy  surgeons  general,  with  the  rank  of  lieutenant  colonel, 
as  lieutenant  colonels;  surgeons  with  the  rank  of  niajoi',  .as  majors;  assistant  surgeons, 
who  at  the  time  of  the  approval  of  this  act  sliall  have  served  tlii'ee  years  or  more,  as 
captains;  and  assistant  surgeons,  with  the  rank  of  first  lieutenant,  who  at  tlie  time  of 
the  approval  of  this  act  shall  have  served  less  than  three  years  as  such,  as  first  lieu- 
tenants; and  hereafter  first  lieutenants  shall  be  promoted  to  the  grade  of  captain  after 
thi'ee  years'  sei'vice  in  the  Medical  Corps. 

Sbc.  3.  That  promotions  in  the  Medical  Corps  to  fill  vacancies  in  the  several  grades 
o-eated  or  caused  by  tliis  act,  or  hereafter  occurring,  shall  be  made  according  to 
.seniority,  but  all  such  promotions  and  all  appointments  to  the  grade  of  first  lieutenant 
in  said  corps  shall  l^e  subject  to  examination  as  hereinafter  provided:  Provided,  That 
the  increase  in  grades  of  colonel,  lieutenant  colonel,  and  major  provided  for  in  this 
act  sliali  be  tilled  bj^  promotion  each  calendar  year  of  not  exceeding  two  lieutenant 
colonels  to  be  colonels,  tlrree  majors  to  be  lieutenant  colonels,  fourteen  captains  to  be 
majors,  and  of  the  increase  in  the  grade  of  fhst  lieutenant  Jiot  more  tlian  twenty -fi^'e 
per  centum  of  the  total  of  sucli  increase  shall  be-appoiuted  in  any  one  calendar  year: 
Provided  further,  That  those  assistant  surgeons  Avho  at  the  time  of  the  approval  of  this 
act  shall  have  attained  their  captaincy  by  reason  of  sei'vice  in  the  volunteer  forces 
Tinder  the  provisions  of  the  act  of  FebaT.iary  second,  nineteen  hundi'ed  and  one,  section 

11 


12  MANUAL   FOR   MEDICAL   DEPAETMEXT^   U.    S.   ARMY. 

eighteen,  or  who  will  receive  their  captaincy  upon  the  approval  of  this  act  by  virtue 
of  such  service,  shall  take  rank  among  the  officers  in  or  subsequently  promoted  to  that 
grade,  according  to  date  of  entrance  into  the  Medical  Department  of  the  Army  as 
commissioned  officers. 

Sec.  4.  That  no  person  shall  receive  an  appointment  as  first  lieutenant  in  the 
Medical  Corps  unless  he  shall  have  been  examined  and  approA^ed  by  an  Army  medical 
board  consisting  of  not  less  than  three  officers  of  the  Medical  Corps  designated  by  the 
Secretary  of  War. 

Sec.  5.  That  no  officer  of  the  Medical  Corps  below  the  rank  of  lieut-enant  colonel 
shall  be  promoted  therein  until  he  shall  have  successfully  passed  an  examination 
before  an  Army  medical  board  consisting  of  not  less  than  three  officers  of  the  ^Medical 
Corps,  to  be  designated  by  the  Secretary  of  War,  such  examination  to  be  prescribed 
by  the  Secretary  of  War  and  to  be  held  at  such  time  anterior  to  the  accruing  of  the 
right  to  promotion  as  may  be  for  the  best  interests  of  the  service :  Provided,  That  should 
any  officer  of  the  Medical  Corps  fail  in  his  physical  examination  and  be  found  incapaci- 
tated for  service  by  reason  of  physical  disability  contracted  in  the  line  of  duty,  he 
shall  be  retired  with  the  rank  to  which  his  seniority  entitled  him  to  be  promoted; 
but  if  he  should  be  found  disqualified  for  promotion  for  any  other  reason,  a  second 
examination  shall  not  be  allowed,  but  the  Secretary  of  War  shall  appoint  a  board  of 
review  to  consist  of  three  officers  of  the  Medical  Corps  superior  in  rank  to  the  officer 
examined,  none  of  whom  shall  have  served  as  a  member  of  the  board  which  examined 
him.  If  the  unfavorable  finding  of  the  examining  board  is  concurred  in  by  the  board 
of  review,  the  officer  reported  disqualified  for  promotion  shall,  if  a  first  lieutenant  or 
captain,  be  honorably  discharged  from  the  service  with  one  year's  pay;  and,  if  a  major, 
Ehall  be  debarred  from  promotion  and  the  officer  next  in  rank  found  qualified  shall  be 
promoted  to  the  vacancy.  If  the  action  of  the  examining  board  is  disapproved  by  the 
board  of  re^dew,  the  officer  shall  be  considered  qualified  and  shall  be  promoted. 

Sec.  6.  That  nothing  in  this  act  shall  be  construed  to  legislate  out  of  the  service 
any  officer  now  in  the  Medical  Department  of  the  Army,  nor  to  affect  the  relative  rank 
or  promotion  of  any  medical  officer  now  in  the  service,  or  who  may  hereafter  be 
appointed  therein,  as  determined  by  the  date  of  his  appointment  or  commission, 
except  as  herein  otherwise  provided  in  section  three. 

(a)  Section  5  above  was  modified  by  the  proviso  in  the  act  of  March 
3,  1909,  readmg  as  follows  (35  Stats.,  737): 

Provided,  That  any  major  of  the  Medical  Corps  on  the  active  list  of  the  Army  who, 
at  his  first  examination  for  promotion  to  the  grade  of  lieutenant  colonel  in  said  corps, 
has  been  or  shall  hereafter  be  found  disqualified  for  such  promotion  for  any  reason 
other  than  physical  disability  incurred  in  the  line  of  duty,  shall  be  suspended  from 
promotion  and  his  right  thereto  shall  pass  successively  to  such  officers  next  below  liim 
in  rank  in  said  corps  as  are  or  may  become  eligible  to  promotion  under  existing  law 
during  the  period  of  his  suspension;  and  any  officer  suspended  from  promotion,  as 
hereinbefore  provided,  shall  be  reexamined  as  soon  as  practicable  after  the  expiration 
of  one  year  from  the  date  of  the  completion  of  the  examination  that  resulted  in  his 
suspension;  and  if  on  such  reexamination  he  is  found  qualified  for  promotion,  he  shall 
again  become  eligible  thereto;  but  if  he  is  found  disqualified  by  reason  of  physical 
disability  incurred  in  line  of  duty,  he  shall  be  retii-ed,  with  the  rank  to  which  his 
seniority  entitles  him  to  be  promoted;  and  if  he  is  not  found  disqualified  by  reason  of 
such  physical  disability,  but  is  found  disqualified  for  promotion  for  any  other  reason, 
he  shall  be  retired  without  promotion. 

3.  An  applicant  for  appointment  in  the  Medical  Corps  of  the  Army 
must  be  between  22  and  30  years  of  age  at  the  time  of  taking  the 
preliminary  examination,  must  be  a  citizen  of  the  United  States, 


MANUAL  FOE    MEDICAL  DEPARTMENT,   U.    S.   ARMY.  13 

must  have  a  satisfactory  general  education,  must  be  a  graduate  of  a 
reputable  medical  school  legally  authorized  to  confer  the  degree  of 
doctor  of  medicine,  and  must  have  had  at  least  one  year's  hospital 
training,  including  practical  experience  in  the  practice  of  medicine, 
surgery,  and  obstetrics. 

(a)  Appointments  to  the  Medical  Corps  are  made  by  the  President, 
upon  the  recommendation  of  the  Surgeon  General,  after  the  appli- 
cants have  passed  the  prescribed  examination.  The  examination 
will  consist  of  two  parts — a  preliminary  examination,  and  a  JEmal  or 
qualifying  examination,  with  a  course  of  instruction  at  the  Army 
Medical  School  intervenmg, 

(b)  Permission  to  appear  for  examination  should  be  applied  for  by 
letter  to  The  Adjutant  General  of  the  Army.  The  application  must 
be  wholly  in  the  handwriting  of  the  applicant,  must  give  the  place 
and  date  of  his  birth,  must  indicate  the  place  and  State  or  Territory 
of  which  he  is  a  permanent  resident,  and  must  mclose  certificates, 
based  upon  personal  acquaintance,  from  at  least  two  reputable  per- 
sons as  to  his  citizenship,  character,  and  habits.  Should  his  original 
application  reveal  any  disqualification  he  will  be  so  advised.  Should 
no  disqualification  be  disclosed  he  will  be  given  an  opportunity  to 
complete  his  application  by  filing  his  personal  history.  Should  this 
indicate  no  disqualification  he  will  m  due  season  be  formally  invited 
to  appear  before  the  local  board  (par.  4)  at  the  point  most  conven- 
ient for  him,  and  a  date  will  be  fixed  for  his  appearance. 

(c)  No  allowances  will  be  made  for  the  expenses  of  applicants 
undergoing  preliminary  examinations. 

4.  The  preliminary  examinations  will  be  conducted,  under  instruc- 
tions from  the  Surgeon  General,  by  local  boards  of  one  or  more  med- 
ical officers,  and  by  a  central  board  of  not  less  than  three,  which 
shall  be  known  as  the  Army  Medical  Board. 

(a)  Local  boards  will  be  convened  at  the  larger  military  posts  as 
occasion  requires.  Permanent  local  boards  also  will  be  established 
from  time  to  time  where  deemed  necessary. 

5.  Each  applicant,  upon  presentmg  himself  to  the  local  board, 
will,  prior  to  his  physical  examination,  be  required  to  submit  the 
diploma  conferring  upon  him  the  degree  of  doctor  of  medicine,  and 
to  sign  the  following  certificate: 

I  certify,  to  the  best  of  my  knowledge  and  belief,  that  I  am  not  affected  with  any 
form  of  disease  or  disability  which  will  interfere  with  the  performance  of  the  duties 
of  the  office  for  appointment  to  which  I  am  about  to  undergo  examination. 

If  he  fails  to  submit  his  diploma,  or  declines  to  give  the  certificate, 
the  examination  will  not  proceed. 

(a)  PJiysical  examination. — If  he  submits  his  diploma  and  gives 
the  prescribed  certificate  the  board  will  then  proceed  with  his  physi- 
cal examination,  which  will  conform  in  all  respects  to  that  required 


14  MAXUAL   FOR    MEDICAL   DEPAETMEiN  T,   U.    S.    ARMY. 

of  candidates  from  civil  life  for  commission  iii  tlie  line  of  the  Army, 
except  in  respect  to  vision,  the  minimum  requirements  of  which  are 
fixed  from  time  to  time  in  general  orders.  (See  Appendix:  Physical 
EjcuTYiinations . ) 

The  physical  examination  will  be  made  complete  in  each  case,  even 
though  a  disquaUfication  be  discovered,  so  as  to  ascertam  whether 
any  other  disqualifications  exist.  If  the  board  finds  one  or  more  dis- 
qualifications which,  in  its  opmion,  are  permanent,  it  will  reject  the 
applicant  and  not  proceed  with  the  mental  exammations.  It  is 
highly  deshable  that  when  an  applicant  is  rejected  for  physical  dis- 
qualification the  cause  or  causes  of  rejection  should  be  so  clearly 
established  as  to  be  conclusive  of  the  reasonableness  and  propriety 
of  the  rejection.  Should  the  board  have  a  doubt  as  to  the  perma- 
nency of  the  disqualification,  it  may  require  appropriate  additional 
testimony  concerning  the  same,  and  such  evidence  as  may  be  obtain- 
able bearing  on  the  medical  history-  of  the  applicant  and  of  his  family. 
Should  the  board  find  one  or  more  physical  disqualifications  which 
in  its  opmion  are  temporary  in  nature  and  such  as  may  be  overcome 
by  the  tmie  the  applicant,  if  otherwise  acceptable,  would  be  ordered 
to  attend  the  Army  Medical  School,  it  may  proceed  with  the  mental 
examinations,  if  the  applicant  so  desires,  upon  the  understanding 
that  he  shall  present  himself  at  a  time  and  place  to  be  designated  by 
the  Surgeon  General  for  a  second  physical  examination  and  upon  the 
condition  that  his  acceptance  as  a  candidate  shall  be  subject  in  all 
respects  to  his  qualifying  at  the  second  physical  examination.  In 
reportmg  the  physical  exammation  in  such  case  the  reasons  which 
led  the  board  to  consider  the  disqualifications  temporar}'  and  influ- 
enced it  to  continue  the  examination  notwithstandmg  the  same  will 
be  fully  set  forth  in  its  report.  The  physical  examination  wiU  be 
reported  on  the  form  provided  for  the  purpose. 

Q))  The  apphcant  havmg  been  found  physically  qualified,  or  the 
physical  disqualifications  found  being  only  temporary  as  provided  in 
the  preceding  section,  the  board  will  next  proceed  with  the  mental 
examinations,  which  will  be  in  writing,  as  follows: 

General  ediucaiion. — This  examination  may  be  omitted  at  the  dis- 
cretion of  the  Surgeon  General  in  the  case  of  applicants  holding 
diplomas  or  certificates  from  reputable  literary  or  scientific  colleges, 
normal  schools  or  high  schools,  or  of  graduates  of  medical  schools 
which  require  an  entrance  examination  satisfactory  to  the  Surgeon 
General.  When  held  it  will  cover  mathematics  (arithmetic,  algebra, 
and  plane  geometry),  geography,  history  (especially  of  the  United 
States),  general  hterature,  Latin  grammar,  and  the  reading  of  easy 
Latin  prose.  Questions  in  these  subjects  will  be  sent  from  the 
Sui-geon  General's  Offico  if  examination  therein  is  required. 


MANUAL  FOR   MEDICAL  DEI'ARTMENT,   U.    S.    AEMY.  15 

Professional  education.— This  will  be  in  the  following  subjects, 
upon  questions  supplied  to  the  board  from  the  Surgeon  General's 
Office:  Anatomy,  ph3-siology  and  histology,  chemistry  and  phj^sics, 
materia  medic  a  and  therapeutics,  surgery,  practice  of  medicine, 
obstetrics  and  gynecology. 

(c)  Upon  the  conclusion  of  the  examination  the  local  board  will 
return  the  applicant's  diploma  to  him. 

(d)  The  local  board  will  report  its  proceedings  on  the  form  provided 
therefor  direct  to  the  Surgeon  General,  noting  thereon  its  opinion  of 
the  applicant's  aptitude  for  the  service  as  good,  fair,  or  poor.  It  will 
forward  therewith  without  marking  them  the  questions  and  answers 
in  the  mental  examinations. 

6.  The  favorable  findings  of  the  local  board  as  to  an  apphcant's 
physical  qualifications,  its  opinion  as  to  his  aptitude  for  the  service, 
and  the  questions  and  answers  in  his  mental  examinations,  will  be 
referred  by  the  Surgeon  General  to  the  Army  Medical  Board,  which 
will  mark  the  applicant's  questions  and  answers  proportionately  to 
their  relative  value  in  each  class,  will  rate  his  aptitude  for  the  service, 
and  will  make  final  report  to  the  Surgeon  General  as  to  his  qualifica- 
tions. Proficiency  in  EngHsh  grammar,  orthography,  and  composi- 
tion will  be  determined  from  the  apphcant's  examination  papers. 
An  applicant  who  in  the  opinion  of  the  Army  Medical  Board  is  physi- 
cally disqualified  will  be  rejected  on  that  ground,  notwithstanding 
the  favorable  findings  of  the  local  board.  An  applicant  who  is  defi- 
cient in  English  grammar,  orthography,  and  composition  will  be 
rejected.  An  applicant  who  has  been  examined  as  to  his  general 
education  and  fails  to  make  a  general  average  therein  of  75  per  cent 
will  be  rejected.  An  apphcant  who  has  been  found  physically  quaU- 
fied,  and  whose  general  education  and  English  grammar,  orthography^, 
and  composition  have  been  found  satisfactory,  and  who  makes  a  gen- 
eral average  of  SO  per  cent  in  his  professional  examination  and  in 
aptitude,  will  be  reported  as  qualified;  the  board  may,  however, 
reject  any  candidate  who  fails  to  make  65  per  cent  in  any  profes- 
sional subject.  .^ 

7.  An  applicant  failing  in  one  preliminary  examination  may  be 
allowed  another  after  the  expii'ation  of  one  year,  but  not  a  third. 
Vv^ithdrawal  from  exan}ination  during  its  progress,  except  because 
of  sicloiess,  will  be  deemed  a  failure. 

8.  Qualified  applicants  "will  be  appointed  to  the  Medical  Reserve 
Corps  with  the  rank  of  first  lieutoiaut,  and  upon  pledging  themselves 
to  accept  a  commission  in  the  Medical  Corps,  if  found  qualified  in 
the  final  examination,  and  to  serve  at  least  five  years  thereunder, 
unless  sooner  discharged,  will  be  ordered  to  the  ^ii-my  Medical  School, 
Washington,  D.  C,  for  instruction  as  candidates  for  admission  to  the 


16  MANUAL   FOR  MEDICAL   DEPABTMENT,  U.    S.    ARMY. 

Medical  Corps  of  tlie  Army.  If,  however,  a  greater  number  of 
applicants  qualify  than  can  be  accommodated  at  the  school,  the 
requisite  number  will  be  selected  according  to  their  relative  standing 
as  marked  by  the  Army  Medical  Board, 

(a)  Qualified  candidates  ordered  to  the  school  receive  the  pay  and 
allowances  of  a  first  lieutenant  for  the  journey  from  their  homes  to 
Washington,  and  while  on  duty  at  the  school. 

9.  The  Jinal  or  qualifying  examination  of  graduate  candidates  for 
appointment  in  the  Medical  Corps  will  be  held  by  the  Army  Medical^ 
Board  (par.  4)  immediately  after  the  close  of  the  term  of  the  Army 
Medical  School.  It  will  cover  the  following  points:  First,  the  can- 
didate's physical  qualifications;  second,  his  clinical  skill  and  acumen; 
and  third,  his  general  aptitude  for  the  service. 

(a)  The  physical  examination  will  be  thorough.  If  it  reveals  a 
permanent  incapacity  for  active  military  service,  the  candidate  will 
be  relieved  from  active  duty  and  his  discharge  from  the  service  recom- 
mended. If  it  reveals  an  incapacity  curable  within  a  brief  period, 
the  candidate  will  be  regarded  as  physically  qualified,  and  the  clinical 
examination  will  be  proceeded  with.  The  question  whether  the  in- 
capacity is  permanent  or  curable  is  one  for  the  examining  board  to 
determine.  In  case  of  doubt  the  examination  will  be  discontinued, 
and  the  candidate  relieved  from  active  duty  to  afford  him  an  oppor- 
tunity to  effect  a  cure.  A  candidate  relieved  from  active  duty  for 
this  purpose  may,  upon  the  recommendation  of  the  Surgeon  General, 
be  called  into  active  service  the  following  year,  for  final  examination 
with  the  next  class  of  candidates.  Should  he  then  be  found  physi- 
cally incapacitated  he  will  be  again  relieved  from  active  duty  and 
his  discharge  from  the  service  recommended. 

(b)  The  candidate  having  been  found  physically  qualified,  the 
board  will  then  proceed  with  his  clinical  examination  and  the  inquuy 
into  his  general  aptitude,  giving  him  appropriate  ratings  under  each 
head  conformably  to  insti"uctions  from  the  Surgeon  General. 

(c)  Graduate  candidates  who  are  found  physically  qualified  and 
who  obtain  a  general  aversi^e  of  80  per  cent  in  their  preliminary 
professional  examination,  in  their  course  at  the  Army  Medical  School, 
in  their  clinical  examination,  and  in  their  general  aptitude,  will  be 
eligible  for  appointment  in  the  Medical  Corps. 

{d)  Eligible  candidates  may,  if  they  so  desire,  take  a  special 
examination  in  ancient  or  modern  languages,  higher  mathematics,  or 
scientific  branches  other  than  medical.  Proficiency  therein  will  be 
rated  by  the  board  conformably  to  instructions  from  the  Surgeon 
General. 

(e)  The  relative  standing  for  appointment  of  eligible  candidates 
will  be  determined  by  the  total  number  of  points  obtained  in  the 
preliminary  professional  examination,  in  the  school,  in  the  clinical 


MANUAL  FOR    MEDICAL   DEPARTMENT^   U.    S.   ARMY.  17 

examination,  in  general  aptitude,  and  in  the  special  examination,  if 
one  is  taken. 

(/)  Eligible  candidates  who  fail  to  receive  appomtments  because 
of  lack  of  vacancies  at  the  time  of  qualification  may  receive  them  in 
the  order  of  their  standing  as  vacancies  occur  before  the  graduation 
of  the  next  class.  Thereafter  they  shall  not  be  eligible  for  appoint- 
ment in  the  Medical  Corps,  but  will  be  preferred  for  selection  for 
volunteer  commissions  and  for  active  duty  in  the  Medical  Reserve 
Corps. 

EXAMINATION    FOR    PROMOTION. 

(See  par.  2,  sec.  5.) 

10.  Regulations  governmg  the  examination  of  officers  of  the  Army 
for  promotion  are  published  by  the  War  Department  from  time  to 
time  in  general  orders,     (See  Appendix:  Officers.) 

11.  Before  proceeding  with  the  physical  examination  for  the  pro- 
motion of  a  medical  officer,  the  officer  about  to  be  examined  will  be 
required  to  submit,  for  the  information  of  the  examining  board,  a 
certificate  as  to  his  physical  condition.  If  he  knows  of  no  physical 
disqualification  existing,  the  certificate  will  take  the  follo^ving 
form: 

I  certify,  to  the  best  of  my  knowledge  and  belief,  that  I  am  not  affected  with  any 
form  of  disease  or  disability  which  will  interfere  with  the  performance  of  the  duties 
of  the  grade  for  promotion  to  which  I  am  about  to  undergo  examination. 

(a)  The  certificate  called  for  in  this  paragraph  will  be  attached  to 
the  proceedings  of  the  board. 

PERSONAL    REPORTS. 

12.  The  personal  reports  made  to  the  Surgeon  General  in  compli- 
ance with  xirmy  Regulations  by  officers  of  the  Medical  Corps  at  inde- 
pendent posts  and  stations  will  be  forwarded  direct.  In  other  cases 
they  will  be  made  in  duplicate  and  forwarded  to  the  department  sur- 
geon who  will  send  the  original  without  delay  to  the  Surgeon  General 
and  retain  the  carbon  copy  for  his  own  records. 

13.  Officers  of  the  Medical  Corps  will  immediately  upon  any  change 
in  their  stations,  status,  or  duties  report  the  same  to  the  Sm:geon 
General,  stating  the  authority  therefor,  with  the  number,  date,  and 
source  of  the  order  making  the  change.  These  reports  will  be  made 
and  forwarded  as  in  the  preceding  paragraph. 

MEDICAL  RESERVE   CORPS. 

14.  Extract  from  the  act  of  April  23,  1908  (35  Stats.,  68): 

Sec.  7.  That  for  the  purpose  of  securing  a  reserve  corps  of  medical  officers  available 
for  military  service,  the  President  of  the  United  States  is  authorized  to  issue  com- 
missions as  first  lieutenants  therein  to  such  graduates  of  reputable  schools  of  medicine, 

70156°— IS— 2 


18  MANUAL  FOR   MEDICAL  DEPARTMEKT,  U.    S.   ARMY. 

citizens  of  tlie  United  States,  as  shall  from  time  to  time,  upon  examination  to  be  pre- 
scribed })y  the  Secretary  of  War,  be  found  physically,  mentally,  and  morally  qualified 
to  hold  STich  commissions,  the  persons  so  commissioned  to  constitute  and  be  known  as 
the  Medical  Reserve  Corps.  The  commissions  so  given  shall  confer  upon  the  holders 
all  the  authority,  rights,  and  pri^'ileges  of  commissioned  officers  of  the  like  grade  in 
the  Medical  Corps  of  the  United  States  i\j-my,  except  promotions,  but  only  when 
called  into  active  duty,  as  hereinafter  provided,  and  during  the  period  of  such  active 
duty.  Officers  of  the  Medical  Reserve  Corps  shall  have  rank  in  said  corps  according 
to  date  of  their  commissions  therein,  and  when  employed  on  active  duty,  as  hereinafter 
l^roA-ided,  shall  rank  next  below  all  other  officers  of  like  grade  in  the  United  States 
Army:  Provided,  That  contract  surgeons  now  in  the  military  service  who  receive  the 
favorable  recommendation  of  the  Surgeon  General  of  the  Army  shall  be  eligible  for 
appointment  in  said  reserve  corps  without  further  examination:  Provided  further,  That 
any  contract  surgeon  not  over  twenty-seven  years  of  age  at  date  of  his  appointment 
as  contract  surgeon  shall  be  eligible  to  appointment  in  the  regular  corps. 

Sec.  8.  That  in  emergencies  the  Secretary  of  War  may  order  officers  of  the  Medical 
Reserve  Corps  to  active  duty  in  the  service  of  the  United  States  in  such  numbers  as 
the  public  interests  may  require,  and  may  relieve  them  from  such  duty  when  their 
services  are  no  longer  necessary:  Provided,  That  nothing  in  this  act  shall  he  construed 
as  authorizing  an  officer  of  the  Medical  Reserve  Corps  to  be  ordered  upon  active  duty 
as  herein  provided  who  is  unwilling  to  accept  such  service,  nor  to  prohibit  an  officer 
of  the  Medical  Reserve  Corps  not  designated  for  active  duty  from, service  with  the 
militia,  or  with  the  volunteer  troops  of  the  United  States,  or  in  the  service  of  the 
United  States  in  any  other  capacity,  but  when  so  ser\-ing  with  the  militia  or  with  vol- 
unteer troops,  or  when  employed  in  the  service  of  the  United  States  in  any  other 
capacity,  an  officer  of  the  Medical  Reserve  Corps  shall  not  be  subject  to  call  for  duty 
under  the  terms  of  this  section:  And  -provided  further ,  That  the  President  is  authorized 
to  honorably  discharge  from  the  Medical  Reserve  Corps  any  officer  thereof  whose 
services  are  no  longer  requii'ed:  And  provided  further,  That  officers  of  the  Medical 
Reserve  Corps  who  apply  for  appointment  in  the  Medical  Corps  of  the  Army  may, 
upon  the  recommendation  of  the  Surgeon  General,  be  placed  on  active  duty  by  the 
Secretary  of  War  and  ordered  to  the  Army  Medical  School  for  instruction  and  further 
examination  to  determine  their  fitness  for  commission  in  the  Medical  Corps:  And 
provided  farther ,  That  any  officer  of  the  Medical  Reserve  Corps  who  is  subject  to  call 
and  who  shall  be  ordered  upon  active  duty  as  herein  provided  and  who  shall  be 
lonwilling  and  refuse  to  accept  such  service  shall  forfeit  his  commission. 

Sec.  9.  That  officers  of  the  Medical  Reserve  Corps  when  called  upon  active  duty 
in  the  service  of  the  United  States,  as  provided  in  section  eight  of  this  act,  shall  be 
subject  to  the  laws,  regulations,  and  orders  for  the  government  of  the  Regular  Army, 
and  during  the  period  of  such  service  shall  be  entitled  to  the  pay  and  allowances  of 
first  lieutenants  of  the  Medical  Corps  with  increase  for  length  of  ser^^ce  now  allowed 
by  law,  said  increase  to  be  computed  only  for  time  of  active  duty:  Provided,  That  no 
officer  of  the  Medical  Reserve  Corps  shall  be  entitled  to  retirement  or  retirement  pay, 
nor  shall  he  be  entitled  to  pension  except  for  physical  disability  incurred  in  the  line 
of  duty  while  in  active  duty:  And  provided  further,  That  nothing  in  this  act  shall  be 
construed  to  prevent  the  appointment  in  time  of  war  of  medical  officers  of  volunteers 
in  such  numbers  and  with  such  rank  and  pay  as  may  be  provided  by  law. 

15.  An  applicant  for  appointment  in  the  Medical  Reserve  Corps 
must  bo  between  22  and  45  years  of  age,  must  be  a  citizen  of  the 
United  States,  must  be  a  graduate  of  a  reputable  medical  school 
legally  authorized  to  confer  the  degree  of  doctor  of  medicine,  and 
must  have  qualified  to  practice  medicine  in  the  State  or  Territory 
in  which  he  resides. 


MAJSrUAL  FOR   MEDICAL  J>EPAETMEK'T,   U.    S,  AKMY.  19 

(a)  Appointments  in  this  coips  are  mad«  bj  the  President  upon 
the  recoaiim-endation  of  the  Sui^eou  General  after  tlie  applicants 
have  passed  the  pre-SK^ribed  examinations.  Permission  to  appear  for 
examination  is  obtained  by  application  to  The  Adjutant  General  of 
the  Army  similar  to  that  required  in  the  case  of  applicants  for  appoint- 
ment in  the  Medical  Corps  (par.  oh).  Should  liis  original  api>lication 
reveal  anj^  disqualification,  the  applicant  will  l>e  so  advised-  Should 
nome  be  disclosed,  he  wHl  be  given  an  opportunity  to  complete  his 
application  by  filing  his  personal  history.,  accompanied  b3^  a  certifi- 
cate from  the  proper  State  or  local  official  that  the  apphcant  is  duly 
qualified  to  practice  medicine  in  the  State  or  Territory  where  he 
resides.  Should  his  personal  historj^  indicate  no  disqualification, 
he  v/ill  in  due  season  be  formally  invited  to  appear  before  the  examm- 
ing  board  at  the  place  most  convenient  for  him.  No  allowances 
will  be  made  for  the  ej^cpenses  of  applicants  undergoing  examination. 

16.  The  examination  will  be  conducted,  mider  instructions  from 
th.e  Surgeon  General,  by  boards  of  one  or  m^ore  ofiicers  of  the  Medical 
Corps  convened  from  time  to  time,  as  required,  at  military  posts  or 
stations. 

(fl)  Upon  presenting  himself  to  the  board  the  apphcant  will  be 
required  to  submit  the  diploma  conferring  upon  him  the  degree  of 
doctor  of  medicine  and  to  give  a  certificate  similar  to  that  prescribed 
in  the  case  of  applicants  for  appointment  in  the  Medical  Corps 
(par.  5).  If  he  fails  to  submit  his  diploma  or  declines  to  give  the 
certificate  the  examination  vrill  not  proceed. 

(b)  The  diploma  having  been  submitted  and  the  certificate  given, 
the  board  will  then  make  a  thorough  physical  examination  of  the 
applicant,  M'hich  must  conform  in  all  respects  to  that  required  of 
candidates  for  commission  in  the  Medici  Corps  (par.  5a).  If  any 
physical  disqualification  for  the  service  is  found  the  examination  will 
be  discontinued.  The  findings  and  action  of  the  board  will  be 
reported  on  the  form  provided  for  the  purpose. 

(c)  The  apphcant  having  been  found  physically  qualified,  the  board 
will  next  proceed  v^^ith  his  professional  examination  in  the  follov»ing 
subjects:  Practice  of  medicine,  surgery,  obstetrics  and  gynecology, 
and  hygiene.  This  examination  will  be  oral  and  sufficiently  com- 
prehensive to  determine  whether,  in  the  opinion  of  the  board,  the 
applicant  is  quahfied  to  practice  his  profession  under  the  usual 
conditions  of  the  military  service.  Sliould  the  oral  examination  in 
any  subject  be  unsatisfactory,  the  api)licant  may  be  required  to  take 
a  written  examination  therein. 

(d)  Upon  the  conclusion  of  tlie  examination  the  l>oard  will  return 
the  applicant's  diploma  to  him.  The  proceedings  of  the  board  wiU 
be  reported  direct  to  the  Surgeon  General. 


20  MANUAL   FOR    MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

17.  An  ofFiccr  of  the  Medical  Reserve  Corps  assigned  to  active 
duty  in  the  service  of  the  United  States  will  immediately  upon 
arrival  at  his  first  station  be  subjected  to  a  critical  physical  exami- 
nation by  a  board  of  one  or  more  medical  officers  constituted  for  the 
purpose,  if  such  board  is  available.  If  no  such  board  is  available 
at  the  station  to  which  he  is  assigned,  he  will  be  ordered  to  report 
to  the  nearest  medical  officer  for  examination  before  proceeding  to 
his  station.  Upon  presenting  himself  to  the  board  the  officer  will 
be  required  to  give  a  certificate  identical  with  that  required  of 
candidates  for  commission  in  the  Medical  Corps  (par.  5).  The 
certificate  having  been  given,  the  board  will  then  proceed  with  the 
physical  examination,  which  will  conform  to  that  prescribed  in 
paragraph  5a,  and  be  made  complete,  even  though  a  physical  dis- 
qualification be  discovered,  so  as  to  ascertain  for  record  whether  any 
other  physical  disqualifications  or  defects  exist.  The  examination 
will  be  reported  to  the  Surgeon  General  upon  the  form  provided 
therefor,  noting  thereon  in  full  the  disqualifications  or  defects  found 
and  the  board's  recommendation  whether  the  officer  shall  be  con- 
tinued on  active  duty  or  shall  be  forthwith  relieved. 

(a)  Upon  relief  from  active  dut}^  (except  in  the  case  of  an  officer 
forthwith  relieved  for  disqualification  found  at  the  examination 
immediately  following  his  assignment  to  active  duty)  the  officer 
will  again  be  subjected  to  a  critical  physical  examination  by  a 
similar  board,  to  which  will  be  referred  the  report  of  the  physical 
examination  made  when  the  officer  was  called  into  active  service. 
The  examination  upon  relief  will  be  completed  in  all  respects  and 
reported  to  the  Surgeon  General  on  the  appropriate  form,  modified 
as  necessary.  All  physical  disqualifications  or  defects  found  on 
such  examination  will  be  fully  reported.  In  case  any  of  them  were 
noted  on  the  report  of  the  physical  examination  made  when  the 
officer  was  called  into  active  service,  the  report  of  the  board  will 
indicate  whether  there  appears  to  have  been  any  change  therein 
since  that  examination.  If  any  of  the  physical  disqualifications  or 
defects  found  on  the  former  examination  are  not  found  when  the 
officer  is  examined  upon  his  relief,  the  report  of  tlie  boartl  will  affirm- 
atively set  forth  that  fact. 

(b)  Tlie  provisions  of  this  paragraph  may  be  waived  by  the  Surgeon 
General  in  the  case  of  Reserve  Corps  officers  called  into  active  service 
for  temporary  duty. 

PERSONAL   REPORTS. 

18.  Officers  of  the  Medical  Reserve  Corps  in  active  service  will 
render  personal  reports  similar  to  those  made  by  officers  of  the  Medical 
Corps  under  paragraphs  12  and  13. 


MANUAL    FOR    MEDICAL   DEPARTMEXT,    U.    S.    ARMY.  21 

19.  Every  officer  of  the  Medical  Reserve  Corps  not  in  active  service 
will  report  his  address  to  the  Surgeon  General  at  the  end  of  each  calen- 
dar 3''ear.     He  will  also  report  promptly  every  change  of  address. 

DENTAL   CORPS. 

20.  Extracts  from  the  act  of  March  3,  1911  (36  Stats.,  1054): 
Hereafter  there  shall  be  attached  to  the  Medical  Department  a  Dental  Corps,  which 

shall  be  composed  of  dental  surgeons  and  acting  dental  surgeons,  the  total  number  of 
which  shall  not  exceed  the  proportion  of  one  to  each  thousand  of  actual  enlisted  strength 
of  the  Army;  the  number  of  dental  surgeons  shall  not  exceed  sixty,  and  the  number 
of  acting  dental  surgeons  shall  be  such  as  may,,  from  time  to  time,  be  authorized  by 
law.  All  original  appointments  to  the  Dental  Corps  shall  be  as  acting  dental  surgeons, 
who  shall  have  the  same  official  status,  pay,  and  allowances  as  the  contract  dental 
surgeons  now  authorized  by  law.  Acting  dental  surgeons  who  have  served  three  years 
in  a  manner  satisfactory  to  the  Secretary  of  War  shall  be  eligible  for  appointment  as 
dental  surgeons,  and,  after  j^assing  in  a  satisfactory  manner  an  examination  which  may 
be  prescribed  by  the  Secretary  of  War,  may  be  commissioned  with  the  rank  of  first 
lieutenant  in  the  Dental  Corps  to  fill  the  vacancies  existing  therein.  Ofhcers  of  the 
Dental  Corps  shall  have  rank  in  such  corps  according  to  date  of  their  commissions 
therein  and  shall  rank  next  below  officers  of  the  ^ledical  Reserve  Corps.  Their  right 
to  command  shall  be  limited  to  the  Dental  Corps.  The  pay  and  allowances  of  dental 
surgeons  shall  be  those  of  first  lieutenants,  including  the  right  to  retirement  on  account 
of  age  or  disability,  as  in  the  case  of  other  officers:  Provided,  That  the  time  served  by 
dental  surgeons  as  acting  dental  or  contract  dental  surgeons  shall  be  reckoned  in  com- 
puting the  increased  service  pay  of  such  as  are  commissioned  under  this  act.  The 
appointees  as  acting  dental  surgeons  must  be  citizens  of  the  United  States  between 
twenty-one  and  twenty-seven  years  of  age,  graduates  of  a  standard  dental  college, 
of  good  moral  character  and  good  professional  education,  and  they  shall  be  required 
to  pass  the  usual  physical  examination  required  for  appointment  in  the  Medical  Corps, 
and  a  professional  examination  which  shall  include  tests  of  skill  in  practical  dentistry 
and  of  proficiency  in  the  usual  subjects  of  a  standard  dental  college  course:  Provided, 
That  the  contract  dental  siu-geons  attached  to  the  Medical  Department  at  the  time  of 
the  passage  of  this  act  may  be  eligible  for  appointment  as  first  lieutenants,  Dental  Corps, 
without  limitation  as  to  age:  And  provided  further,  That  the  professional  examination 
for  such  appointment  may  be  waived  in  the  case  of  contract  dental  sui'geons  in  the 
service  at  the  time  of  the  passage  of  this  act  whose  efficiency  reports  and  entrance 
examinations  are  satisfactory.  The  Secretary  of  War  is  authorized  to  appoint  boards 
of  three  examiners  to  conduct  the  examinations  herein  prescribed,  one  of  whom  shall 
be  a  surgeon  in  the  Army  and  two  of  whom  shall  be  selected  by  the  Secretary  of  War 
from  the  commissioned  dental  surgeons. 

ACTING  DENTAL  SURGEONS. 

21.  Applications  for  examination  for  appomtment  as  acting  dental 
surgeons  under  the  foregoing  law  should  be  made  to  the  Surgeon  Gen- 
eral, who  will  furnish  blanks  therefor  on  request.  They  must  in  each 
case  be  accompanied  by  certificates  from  at  least  two  reputable  per- 
sons as  to  the  applicant's  citizenship,  character,  and  habits. 

(a)  When  an  applicant  is  selected  for  examination  his  application 
and  the  certificates  therewith  will  be  referred  by  the  Surgeon  General 
to  the  examining  board  designated  to  examine  him  for  its  information. 


22  MAXUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

The  applicant  will  in  due  season  be  notified  wlicn  and  where  to  present 
himscll'  to  the  board. 

(h)  No  allowances  will  be  made  for  the  expenses  of  candidates 
undergoing  examination. 

22.  Examinations  will  be  authorized  and  boards  to  conduct  them 
will  be  convened  from  time  to  time  as  may  be  deemed  necessary. 
The  medical  member  of  the  board  will  be  its  president  and  the  junior 
dental  surgeon  its  recorder.  The  procedure  of  the  board  will  cor- 
respond to  that  of  other  army  boards  of  a  similar  character. 

23.  When  two  or  more  dental  examining  boards  are  convened  at 
the  same  time  one  of  them  will  be  designated  by  the  Surgeon  General 
as  the  central  examining  board,  to  prepare  the  questions  for  the  writ- 
ten and  oral  examinations  to  be  conducted  simultaneously  by  the 
several  boards.  In  order  that  there  may  be  no  premature  disclosure  of 
the  questions,  the  same  will  be  transmitted  by  the  central  board  con- 
fidentially to  the  Surgeon  General  for  distribution  to  the  other  boards 
in  season  for  the  latter's  action.  When  but  one  board  is  convened  it 
will  prepare  the  questions  for  the  written  and  oral  examinations  of 
the  candidates  to  appear  before  it. 

24.  Each  candidate  upon  presenting  himself  to  the  examming  board 
will,  prior  to  his  physical  examination,  be  requhed  to  sign  the  certifi- 
cate required  of  applicants  for  appomtment  in  the  Medical  Corps  of 
the  Army  (par.  5),  and  to  submit  therewith  his  diploma  as  a  graduate 
of  a  standard  dental  college.  If  he  declines  to  give  the  certificate  or 
fails  to  submit  his  diploma,  the  examination  will  not  proceed. 

(a)  Physical  examination. — His  certificate  having  been  given  and 
his  diploma  having  been  found  satisfactory  and  returned  to  hun,  the 
medical  member  of  the  board  will  then  proceed  with  the  physical 
exammation  of  the  candidate,  which  will  conform  in  aU  respects  to 
that  requhed  of  candidates  from  civil  life  for  commission  m  the  Medi- 
cal Corps  of  the  Army.  If  any  physical  disqualification  for  the  ser^^ce 
is  found,  the  examination  will  be  discontinued  and  the  candidate 
rejected.  Tlie  findings  of  the  medical  member  of  the  board  in  respect 
to  the  candidate's  physical  qualifications  will  be  recorded  on  the 
form  provided  for  the  purpose,  and  accompany  the  report  of  the 
board  upon  the  conclusion  of  the  examination. 

(b)  Professional  examination. — If  the  candidate  is  found  physi- 
cally qualified,  the  whole  board  will  then  proceed  with  his  professional 
examination.  This  will  consist  of  oral  and  written  questions  and 
clinical  work,  particular  stress  being  laid  upon  the  practical  examina- 
tion. The  oral  examination  will  include  oral  surgery,  operative  den- 
tistry and  prosthetic  dentistry.  The  subjects  of  the  written  exami- 
nation will  be  anatomy,  physiology,  and  histology;  materia  mcdica 
and  therapeutics;  dental  pathology  and  bacteriology;  chemistry, 
physics,  and  metallurgy.    The  clinical  examination  will  be  of  such  a 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  23 

character  as  will  tliorouglily  test  the  candidate's  practical  knowledge 
of  operative  and  prosthetic  dentistry. 

An  average  of  75  per  cent  will  bo  required  to  qualify  in  the  sub- 
jects of  the  written  and  oral  examinations  and  85  per  cent  in  the 
practical  examination. 

(c)  To  insure  uniformity  of  standards  so  far  as  practicable,  the 
answers  to  the  questions  in  the  written  examinations  will  be  rated 
by  the  central  board,  if  one  has  been  convened.  Whether  there  is 
a  central  board  or  not,  the  local  boards  will  rate  the  oral  and  practical 
examinations  and  report  their  findings  in  regard  to  the  physical  com- 
petency, the  moral  character,  and  the  general  fitness  for  the  service 
of  all  the  candidates  examined  by  them. 

(d)  The  board  v/ill  make  a  full  report  of  the  examination  of  each 
candidate  and  forward  all  papers  connected  therewith  direct  to  the 
Surgeon  General,  or  to  the  central  board,  if  one  has  been  convened. 

(e)  Detailed  instructions  for  the  guidance  of  the  board  vrill  be  fur- 
nished by  the  Surgeon  General. 

25.  Candidates  who  qualif}^  at  the  examination  will  be  preferred 
for  employment  as  acting  dental  sm'geons  in  the  order  of  their  stand- 
ing at  the  examination,  according  to  the  needs  of  the  service  during 
the  ensuing  year.  After  the  expiration  of  a  year  they  will  no  longer 
be  considered  eligible  until  again  examined. 

<«)  Contracts  to  perform  the  duties  of  an  acting  dental  surgeon 
wlQ  be  entered  into  on  Form  45,  by  the  Sui-geon  General  only,  with 
selected  candidates  who  have  qualified  as  hereinbefore  required. 
They  will  be  annulled  only  as  provided  in  x\j'my  Kegulations. 

DENTAL    SURGEONS. 

26.  Acting  dental  surgeons  whose  work  and  conduct  during  a 
service  of  three  years  as  disclosed  by  the  records  of  the  War  Depart- 
ment have  given  rise  to  no  material  and  well-grounded  criticism  will 
be  regarded  as  eligible  for  appointment  to  the  grade  of  dental  sur- 
geon, upon  the  occurring  of  vacancies  therein,  subject  to  a  physical 
and  professional  examination  by  a  board  duly  constituted  as  pre- 
scribed by  law. 

27.  The  candidate  upon  presenting  himself  to  the  board  will, 
prior  to  his  physical  examination,  sign  the  certificate  required  of 
applicants  for  appointment  in  the  Medical  Corps  of  the  Army  (par. 
5).  If  he  declines  to  give  the  certificate,  the  examination  will  not 
proceed. 

28.  Physical  examination. — ^The  certificate  having  been  given,  the 
medical  member  of  the  board  will  proceed  with  the  candidate's 
physical  examination,  which  Vvill  conform  to  that  prescribed  in  para- 
graph 24a  for  candidates  for  appointment  as  acting  dental  surgeons, 


24  MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

and  will  be  conducted,  discontinued,  recorded,  and  reported  in  like 
manner. 

29.  Professional  examination. — The  candidate  having  been  found 
physically  qualified  the  board  will  then  proceed  with  his  professional 
examination.  This  will  comprise  two  parts,  the  written  examina- 
tion and  the  practical  examination.  A  general  average  of  75  per 
cent  and  not  less  than  60  per  cent  in  any  one  subject  (except  Medical 
Department  administration)  will  be  required  to  qualif}"  in  the  written 
examination,  and  a  general  average  of  85  per  cent  in  the  practical 
examination. 

(a)  The  written  examination  will  include  10  questions,  to  be  formu- 
lated by  the  board,  in  each  of  the  following  subjects:  (1)  Medical 
Department  administration — Army  Regulations  so  far  as  they  relate 
to  the  Dental  Corps  of  the  Army  or  to  the  dental  surgeon  as  an  officer 
of  the  Army;  Manual  for  the  Medical  Department,  so  far  as  it  relates 
to  the  Dental  Corps ;  Manual  for  Courts-Martial ;  (2)  oral  hygiene ;  (3) 
orthodontia;  (4)  operative  dentistry,  including  recent  progress  in 
etiology,  pathology,  therapeutics,  and  op.erative  methods;  (5)  oral 
surgery,  including  recent  progress  in  etiolog}^,  pathology,  thera- 
2oeutics,  and  operative  procedure. 

(h)  The  practical  examination  will  be  within  the  scope  of  the  follow- 
ing schedule.  It  is  not  expected  that  work  will  be  required  under  all 
of  the  clinical  subheads  indicated.  The  board  will  exercise  its  judg- 
ment in  selecting  the  tests  according  to  the  time  and  clinical  material 
available. 

1.  Operative:  Examination  of  the  oral  cavity  and  diagnosis  of 
pathological  conditions  found;  extraction  of  roots  of  broken-dowm 
teeth;  adjusting  porcelain  crowTi,  cast  base,  or  grinding;  gold  filling; 
compound  gold  filling ;  compound  amalgam  filling ;  ox3q:)hosphate  fill- 
ing; treatment  of  exposed  pulps  and  putrescent  root  canals;  prophy- 
lactic treatment. 

2,  Prosthetic:  Taking  impressions  of  mouth,  running  models, 
mounting  on  articulator,  and  articulating  teeth;  making  gold  crown, 
or  gold  and  porcelain  crown,  or  gold  and  porcelain  bridge. 

30.  The  board  will  make  a  full  report  of  the  exammation  of  each 
candidate  on  the  forms  provided  for  that  purpose  and  will  forward  all 
papers  connected  therewith  direct  to  the  Surgeon  General. 

(a)  Detailed  instructions  for  the  guidance  of  the  board  will  be 
furnished  by  the  Surgeon  General. 

31.  Candidates  who  qualify  will  be  recommended  to  the  President 
for  commission. 

TERSONAL    REPORTS. 

32.  Dental  surgeons  and  acting  dental  surgeons  will  render  personal 
reports  similar  to  those  made  by  officers  of  the  Medical  Corps  under 
paragraplis  12  and  13. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY.  25 

HOSPITAL   CORPS. 

CONSTITUTION    OF   THE    CORPS. 

33.  Extract  from  the  act  of  March  1,  1887  (24  Stats.,  435): 

That  the  Hospital  Corps  of  the  United  States  Army  shall  consist  of  hospital  stewards, 
acting  hospital  stewards,  and  privates;  and  all  necessary  hospital  services  in  garrison, 
camp,  or  field  (including  ambulance  service)  shall  be  performed  by  the  members 
thereof,  who  shall  be  regularly  enlisted  in  the  military  service;  said  corps  shall  be 
permanently  attached  to  the  Medical  Department,  and  shall  not  be  included  in  the 
effective  strength  of  the  Army  nor  coimted  as  a  part  of  the  enlisted  force  provided  by 
law. 

Sec.  2.  That  the  Secretary  of  War  is  empowered  to  appoint  as  many  hospital 
stewards  as  in  his  judgment  the  service  may  reqiure;  but  not  more  than  one  hospital 
steward  shall  be  stationed  at  any  post  or  place  without  special  authority  of  the  Secre- 
tary of  War. 

Sec.  3.  That  *  *  *  hospital  stewards  *  *  *  shall  have  rank  with  ordnance 
sergeants,  and  be  entitled  to  all  the  allowances  appertaining  to  that  grade. 

Sec.  4.  That  no  person  shall  be  appointed  a  hospital  steward  unless  he  shall  have 
passed  a  satisfactory  examination  before  a  boai'd  of  one  or  more  medical  officers  as  to 
his  qualifications  for  the  position,  and  demonstrated  his  fitness  therefor  by  sendee 
of  not  less  than  12  montlis  as  acting  hospital  steward;  and  no  person  shall  be  desig- 
nated for  such  examination  except  by  written  authority  of  the  Surgeon  General. 

Sec.  5.  That  the  Secretary  of  War  is  empowered  to  enlist,  or  cause  to  be  enlisted, 
as  many  privates  of  the  Hospital  Corps  as  the  service  may  require,  and  to  limit  or  fix 
the  number,  and  make  such  regulations  for  their  government  as  may  be  necessary; 
and  any  enlisted  man  in  the  Army  shall  be  eligible  for  transfer  to  the  Hospital  Corps 
as  a  private.  They  shall  perform  duty  as  wardmasters,  cooks,  nurses,  and  attend- 
ants in  hospitals,  and  as  stretcher  beajers,  litter  bearers,  and  ambulance  attendants 
in  the  field,  and  such  other  duties  as  may  by  proper  authority  be  required  of  them. 

Sec.  G.  That  *  *  *  privates  of  the  Hospital  Corps  *  *  *  shall  be  entitled 
to  the  same  allowances  as  a  corporal  of  the  arm  of  service  with  which  on  duty. 

Sec.  7.  That  privates  of  the  Hospital  Corps  may  be  detailed  as  acting  hospital 
stewards  by  the  Secretary  of  War,  upon  the  recommendation  of  the  Siu"geon  General, 
whenever  the  necessities  of  the  service  require  it;  *  *  *.  Acting  hospital 
stewards,  when  educated  in  the  duties  of  the  position,  may  be  eligible  for  examination 
for  appointment  as  hospital  stewards  as  above  provided. 

(a)  Section  18  of  the  act  approved  February  2,  1901  (31  Stats., 
753),  fixed  the  number  of  hospital  stewards  at  300  and  provided: 

That  men  who  have  served  as  hospital  stewards  of  volunteer  regiments  or  acted  in 
that  capacity  during  and  since  the  Spanish-American  War  for  more  than  six  months 
may  be  appointed  hospital  stewards  in  the  Regular  Army:  And  provided  further, 
That  all  men  so  appointed  shall  be  of  good  moral  character  and  shall  have  passed  a 
satisfactory  mental  and  physical  examination. 

(b)  The  act  of  March  2,  1903  (32  Stats.,  930),  defines  the  present 
status  of  the  corps  as  follows : 

That  hereafter  the  Hospital  Corps  of  the  United  States  Ai'my  shall  consist  of  ser- 
geants first  class,  sergeants,  corporals,  privates  first  class,  and  privates;  the  rank 
*  *  *  of  sergeants  first  class,  sergeants,  and  privates  first  class  shall  be  as  now 
provided  by  law  for  hospital  stewards,  acting  hospital  stewards,  and  privates  of  the 
Hospital  Corps;  *  *  *.  That  the  Secretary  of  War  is  authorized  to  organize  com- 
panies of  instruction,  ambulance  companies,  field  hospitals,  and  other  detachments 
of  the  Hospital  Corps  as  the  nficessities  of  the  service  may  require. 


26  MANUAL   FOR    MEDICAL   DEPARTMEXT,   U.    S.    ARMY. 

MASTER     HOSPITAL     SERGEANTS,     HOSPITAL     SERGEANTS,     SERGEANTS, 
FIRST    CLASS,   AND    SERGEANTS. 

34.  An  application  for  appointment  as  master  hospital  sergeant, 
hospital  sergeant,  sergeant,  first  class,  or  sergeant  must  be  accom- 
panied by  an  affidavit  stating  whether  or  not  the  applicant  is  married. 

Applications  from  commands  under  the  immediate  supervision  of 
the  War  Department  will  be  forwarded  direct  to  the  Surgeon 
General.  Applications  from  other  posts  or  commands  will  be  for- 
warded: (1)  If  for  appointment  as  master  hospital  sergeant,  hos- 
pital sergeant,  or  sergeant,  first  class,  through  the  department  sur- 
geon to  the  Surgeon  General;  and  (2)  if  for  appointment  as  sergeant, 
to  the  department  surgeon. 

(a)  Appointments  of  married  men  to  the  grades  of  master  hos- 
pital sergeant,  hospital  sergeant,  sergeant,  first  class,  and  sergeant 
will  be  made  only  with  the  understanding  that  the  applicant  "wall  be 
entitled  to  no  special  consideration  on  account  of  his  marital  con- 
dition.    (C.  M.  M.  v.,  No.  1.) 

35.  Examinations  for  appointment  to  these  grades  are  conducted 
by  boards  of  medical  officers  conformably  to  the  provisions  of  Army 
Regulations.  The  examinations  will  be  both  oral  and  practical,  and 
written.  They  will  embrace  the  same  subjects  for  all  the  grades,  the 
higher  the  grade  the  more  difficult  the  examination. 

(a)  Examinations  for  appointment  to  the  grades  of  master  hos- 
pital sergeant,  hospital  sergeant,  and  sergeant,  first  class  at  all  posts, 
and  for  appointment  to  the  grade  of  sfergeant  in  commands  directly 
under  the  War  Department,  will  be  held  at  such  times  as  may  be 
designated  by  the  Surgeon  General.  The  questions  for  the  written 
examinations  will  be  prepared  in  his  office. 

(b)  Examinations  for  appointment  to  the  grade  of  sergeant, 
except  in  commands  directly  under  the  War  Department,  will  bo 
held  under  the  direction  of  department  surgeons  whenever  the}^  deem 
the  same  necessary  (generally  once  or  twice  a  year)  without  pre- 
vious reference  to  the  Surgeon  General.  The  questions  for  the 
written  examinations  will  be  prepared  by  the  department  surgeons. 

(c)  The  examining  board  will 'investigate  and  report  upon  the 
candidate's  qualifications  under  the  following  heads:  (1)  Ph3'-sical 
condition;  (2)  character  and  habits,  especiall}''  as  to  the  use  of  stimu- 
lants and  narcotics;  (3)  discipline  and  control  of  men;  (4)  knowledge 
of  regulations;  (.5)  nursing;  (6)  dispensary  work;  (7)  clerical  work; 
(8)  principles  of  cooking  and  mess  management;  (9)  Medical  Depart- 
ment drill;  (10)  minor  surgery  and  first  aid,  including  extraction  of 
teeth.  The  board  will  require  the  candidate  to  prepare  a  full  set  of 
papers  pertaining  to  the  Medical  Department,  and  to  ch'ill  a  detach- 
ment of  the  Medical  Department  sufficiently  to  demonstrate  his 
thorough  knowledge  of  the  drill  regulations. 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY,  27 

{d)  The  written  exaraination  will  embrace  the  following  subjects: 
(1)  Arithmetic;  (2)  materia  medica;  (3)  pharmacy;  (4)  care  of  sick 
and  ward  management;  (5)  minor  surgery  and  first  aid;  (6)  elemen- 
tary hygiene.  Ten  questions  will  be  asked  in  each  subject.  Profi- 
ciency in  penmansliip  and  orthography  will  be  estimated  from  the 
papers  submitted. 

{e)  The  report  of  the  examining  board  in  the  case  of  a  candidate 
for  appointment  as  master  hospital  sergeant,  hospital  sergeant,  or 
sergeant,  first  class,  will  be  forwarded  with  the  examination  papers 
direct  to  the  Surgeon  General,  imder  whose  direction  the  paj^ei's 
will  be  marked.  In  the  case  of  a  candidate  for  appointment  as 
master  hospital  sergeant  or  hospital  sergeant  the  board  in  forwarding 
the  papei"s  vdll  report  its  opinion,  based  on  the  candidate's  past 
record  and  experience,  as  to  his  ability,  adaptability,  and  general 
fitness  for  the  position.  The  board  will  mark  the  papers  of  a  can- 
didate for  appointment  as  sergeant,  and  will  then  send  them  to  the 
department  surgeon,  or  in  the  case  of  a  command  directly  under  the 
War  Department,  direct  to  the  Surgeon  General,  wdth  its  report  as  to 
the  candidate's  qualifications.  If  the  report  is  made  to  a  department 
surgeon,  he  will,  after  taking  appropriate  action  in  the  premises,  for- 
ward all  the  papers,  \nih.  a  note  of  his  action,  to  the  Surgeon  General 
inclosing  a  copy  of  the  questions  asked  in  the  written  examination. 

(/)  The  scope  and  character  of  the  examination  for  appointment 
as  sergeant,  first  class,  limited  warrant,  or  sergeant,  limited  war- 
rant, will  be  prescribed  by  the  Surgeon  General  from  time  to  time 
as  occasion  requires.  .  In  forwarding  its  report  the  board  will  recom- 
mend whether  the  candidate  should  be  appointed. 

{g)  Eligibility  for  appointment  to  these  grades  in  the  case  of 
candidates  who  qualify  will  continue  for  one  year  from  the  dates  of 
their  examination  respectively.      {C.  M.   M.  I).,  No.  1.) 

36.  Master  hospital  sergeants,  hospital  sergeants,  sergeants,  first 
class,  and  sergeants  may  be  re^nlisted  in  their  respective  grades,  on 
the  authority  of  the  Surgeon  General,  subject  to  the  conditions  pre- 
scribed in  Army  Regulations. 

{a)  A  sergeant  first  class  who  desires  to  reenlist  wiU  report  that  fact, 
through  medical  channels,  to  the  Sm'geon  General,  at  least  60  days 
before  the  termination  of  his  active  service  with  the  organization  under 
his  current  enlistment.  A  reexamination  will  be  held  before  first  re- 
enlistment  if  the  applicant  has  served  for  more  than  one  year  m  the 
gi'ade.  In  case  an  applicant  has  served  for  less  than  one  year  m  this 
grade,  the  exammation  may  be  waived  by  the  Surgeon  General,  pro- 
vided the  detachment  commander  and  the  department  surgeon  having 
supervision  over  it  concur  in  the  statement  that  he  has  performed  his 
duties  efficiently.  In  case  examination  has  been  waived  before  first 
reenlistment,  it  will  always  be  held  before  the  second  reenlistment. 


28  MANUAL  FOR   MEDICAL  DEPARTMENT,  U.    S.   ARMY. 

No  examination  on  subsequent  reenlistments  will  ordinarily  be  held 
unless,  in  the  judgment  of  the  Surgeon  General,  the  interests  of  the 
service  .require  it. 

(b)  Examinations  for  reenlistment  in  the  grades  of  master  hos- 
pital sergeant,  hospital  sergeant,  and  sergeant  are  not  required. 
{C.  M.  M.  D.,  No.l.) 

ACTING    COOKS. 

37.  The  act  of  Congress  approved  May  11,  1908  (35  Stats.,  109), 
providing  for  acting  cooks  for  the  Hospital  Corps,  is  regarded  as 
having  established  a  new  grade  in  that  corps. 

(a)  Acting  cooks  are  not  enlisted  as  such.  Under  authority 
granted  b}^  the  Surgeon  General,  in  accordance  with  the  provisions 
of  paragraph  38,  an  officer  commanding  any  hospital  or  other  sani- 
tary formation  may  appoint  acting  cooks  by  promotion  from  among 
the  privates  first  class  or  privates  on  duty  therein. 

(b)  An  acting  cook  may  be  reduced  for  inefficiency  or  misconduct 
at  the  discretion  of  such  officer,  but  acting  cooks  who  were  pro- 
moted from  the  grade  of  private  first  class  will  not  be  reduced  to 
the  grade  of  private  except  by  order  of  a  department  surgeon,  the 
Surgeon  General,  or  by  sentence  of  a  court-martial. 

38.  Acting  cooks  are  authorized  in  the  proportion  of  not  to  exceed 
6  per  cent  of  the  total  enlisted  strength  of  the  Hospital  Corps.  They 
will  be  authorized  and  assigned  by  the  Surgeon  General  to  hospitals 
and  other  sanitary  formations  where  needed  as  are  sergeants.  Hos- 
pital Coij)s. 

(a)  In  general  it  is  considered  that  one  cook  is  sufficient  for  a  mess 
of  50  persons  or  major  fraction  thereof. 

CORPORALS, 

39.  Tlie  appointment  of  corporals  and  lance  corporals  of  the  Hos- 
pital Corps  is  governed  by  Army  Regulations. 

ENLISTMENTS    IN    AND    TRANSFERS    TO    THE    CORPS. 

40.  Medical  officers  will  not  make  enlistments  or  reenlistments  for 
the  Hospital  Corps  without  obtaming  special  authority  from  the  Sur- 
geon General  or  the  department  surgeon.  Department  surgeons  arc 
authorized  to  enlist  for  the  Hospital  Corps  up  to  the  regular  allowance 
of  their  respective  departments  without  reference  to  the  Surgeon 
General.  They  may  also  authorize  reenlistments  of  privates,  pri- 
vates first  class,  lance  corporals,  corporals,  and  sergeants,  serving 
within  their  respective  departments.     (See  Army  Regulations.) 

(a)  Contract  surgeons  can  not  make  enlistments,  as  the  oath  must 
be  administered  by  a  cormnissioned  officer. 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  29 

(b)  The  enlistment  papers  of  all  men  enlisting  or  reenlisting  in  the 
Hospital  Corps  will  be  forwarded  direct  to  The  Adjutant  General  of 
the  Army. 

41.  Wlien  a  man  is  enlisted  for,  reenlisted  in,  or  transferred,  to  the 
Medical  Department,  the  medical  officer  who  first  receives  him  will 
prepare  and  forward  a  record  card  of  the  soldier  directly  to  the 
Surgeon  General,  except  in  the  case  of  a  man  stationed  m  the  Philip- 
pine, Hawaiian,  or  Panama  Canal  Department,  when  the  card  will 
be  sent  through  the  department  surgeon.     (C.  M.  M.  D.,  No.  3.) 

ENLISTED    ASSISTANT    TO    THE    DENTIST. 

42.  The  enlisted  assistant  to  the  dentist  will  be  attached  to  the 
detachment  of  the  Hospital  Corps.  He  will  be  regarded  as  being 
under  special  instruction  while  on  duty  with  the  dentist  and  will  not 
be  requu-ed  to  attend  other  instruction. 

DUTIES    OF    NONCOMMISSIONED    OFFICERS. 

43.  The  duties  of  noncommissioned  officers  of  the  Hospital  Corps 
are  to  mamtain  discipline  in  hospitals  and  watch  over  their  general 
police;  to  supervise  the  duties  and  assist  in  the  instruction  of  the 
members  of  the  Hospital  Corps  m  hospital  and  m  the  field;  to  look 
after  and  distribute  hospital  stores  and  supplies;  to  care  for  hospital 
property;  to  compound  medicines;  to  prepare  reports  and  returns; 
and  to  perform  such  other  duties  as  may,  b}"  proper  authority,  be 
required  of  them. 

ASSIGNMENT    TO    DUTY. 

44.  Sergeants  first  class.  Hospital  Corps,  are  assigned  to  duty  by 
the  War  Department  on  the  recommendation  of  the  Surgeon  General. 
Other  members  of  the  Hospital  Corps  are  assigned  to  duty  by  the 
department  commander  on  recommendation  of  the  department  sur- 
geon, except  at  mdependent  posts,  where  all  assignments  are  made  by 
the  War  Department .  In  the  Philippme  Department ,  m  the  Hawaiian 
Department,  and  in  the  Canal  Zone,  all  members  of  the  Hospital  Corps 
are  assigned  by  the  department  commander. 

CHANGES    OF    STATION    OR    STATUS. 

45.  During  tmie  of  peace  all  changes  in  the  personnel  of  the  Hos- 
pital Corps  by  enlistment,  discharge,  death,  desertion,  etc.,  and  all 
changes  m  the  stations  of  its  members  by  departure  for,  or  arrival 
from,  another  post  or  command,  will  be  reported  at  once,  and  such 
other  changes  from  the  status  of  duty  at  post  or  with  the  command  as 
may  affect  their  availability  for  transfer  or  detached  service,  as  sick- 
ness, confuiement,  furlough,  or  absence  without  leave,  lasting  as  long 
as  ten  days,  will  be  reported  on  the  tenth  day  and  again  upon  return 


30  MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

tq  a  duty  status,  by  the  officer  commanding  the  detachment  or  Medi- 
cal Department  organization. 

(a)  In  cases  of  discharge  the  report  will  show,  first,  the  soldier's 
character  given  on  discharge;  second,  objections  to  his  reenlistment, 
if  there  are  any,  otherwise  the  fact  that  there  are  none;  third,  his 
physical  condition,  good  or  poor;  fourth,  whether  he  is  single  or  mar- 
ried; fifth,  his  mail  address;  and  sixth,  such  other  information  as 
may  be  pertment. 

(b)  In  all  cases  the  particulars  of  the  changes  reported  will  be  indi- 
cated in  full. 

(c)  From  independent  posts  and  stations  these  reports  will  be  for- 
warded direct  to  the  Surgeon  General.  In  other  cases  they  will  be 
for^'arded  in  duplicate  to  the  department  surgeon  who  wiU  send  the 
original  without  delay  to  the  Surgeon  General  and  retain  the  cai'bon 
copy  for  his  own  records. 

46.  Whenever  in  time  of  peace  a  soldier  of  the  Medical  Depart- 
ment is  transferred  from  one  station  to  another,  the  surgeon  of  his 
old  station  wiU  attach  an  efficiency  report  of  the  soldier  on  Form  80 
to  the  soldier's  service  record.     (C.  M.  M.  D.,  No.  3.) 

CLOTHING    AND    EQUIPMENTS. 

47.  The  clothing  allowances  of  enhsted  men,  including  soldiers  of 
the  Hospital  Corps,  are  prescribed  in  War  Department  orders  pub- 
Hshed  from  time  to  time.     (See  Appendix:  Clotliing  and  Equifment.) 

(a)  White  duck  clothing  as  issued  by  the  Quartermaster  Corps 
should  be  worn  by  Hospital  Corps  men  on  duty  in  the  wards,  dis- 
pensaries, post-mortem  rooms,  operating  rooms,  messrooms,  and 
kitchens  of  hospitals;  also  by  Hospital  Corps  men  on  duty  as  assist- 
ants to  dental  surgeons.  White  clothing  soiled  while  on  such  duty 
may  be  included  in  the  hospital  laundry  (par.  2G7). 

(6)  Medical  officers  when  transferring  members  of  the^  Hospital 
Corps  from  one  station  or  command  to  another  will  transmit  with  the 
service  record  of  each  man  a  statement  showing  the  sizes  of  his  cloth- 
ing as  kept  on  file  at  his  old  station.  (See  Appendix:  Clothing  and 
Equipment.)     (0.  M.  M.  D.,  No.  3.) 

48.  When  a  soldier  of  the  Hospital  Corps  is  transferred  from  one 
post  or  command  to  another  (except  as  noted  in  (a)  and  (h)  of  this 
paragraph)  no  articles  of  jmbhc  property,  other  than  the  necessary 
clothing,  will  be  transferred  with  him  unless  ordered  by  the  authority 
directing  the  soldier's  transfer. 

(a)  In  the  case  of  soldiers  of  the  Hospital  Corps  ordered  on  field 
service,  the  equipment  to  be  taken  is  usually  prescribed  in  the  order 
directing  the  movement.  When  not  so  prescribed  the  e(iuipment 
transferred  with  the  soldier  will  be  that  specified  in  paragraph  865«. 

(6)  The  articles  of  individual  equipment  to  be  carried  by  members 


MANUAL   FOE    MEDICAL   DEPARTMENT,    U.    S.    ARMY.  31 

of  the  Hospital  Cori)s  en  route  to  or  from  the  Pliilippine  Islands  are 
prescribed  in  general  orders.     (See  Appendix:  Hospital  Corps.) 

49.  iVi-ticles  of  personal  equipment,  belonging  to  the  Medical  De- 
partment, which  a  detached  soldier  carries  \vith  him,  will  be  listed 
upon  duplicate  invoice  blanks,  Form  28,  each  invoice  being  signed 
by  the  issuing  officer,  and  by  the  soldier  acknowledging  receipt  of  the 
property.  The  invoices  will,  when  practicable,  indicate  the  soldier's 
destination.  One  of  them  will  be  forwarded  with  the  soldier's  serv- 
ice record,  upon  which  a  remark  will  be  m.ade  that  it  is  so  accompanied, 
as  "Invoice  herewith  of  medical  property  in  the  soldiers  possession" ; 
the  other  will  be  forwarded  at  once  by  the  issuing  officer  direct  to  the 
Surgeon  General.  The  issuing  officer  will  drop  from  his  return  the 
articles  thus  transferred,  which  will  be  taken  up  by  the  officer  to 
whom  the  soldier  reports.  The  latter  officer  will  execute  duplicate 
receipts  therefor  on  Form  28  (naming  therein  the  soldier  with  whom 
the  articles  were  received),  one  of  wliich  he  will  forw^ard  at  once 
direct  to  the  Surgeon  General  and  the  other  to  the  issuing  officer, 
filing  with  his  retained  papers  the  invoice  which  accompanied  the 
service  record.  (For  general  rule  governing  transfers  of  medical 
property  see  par.  496,  et  seq.  For  medical  property  transferred  with 
sick  see  par.  228.) 

(a)  Ordnance  property  transferred  in  the  possession  of  enhsted 
men  will  be  acccounted  for  as  prescribed  in  Ai-my  Regulations. 
{aM.M.D.,No.S.) 

RETURN  OF  THE  HOSPITAL  CORPS. 

60.  This  return  will  be  rendered  bimonthly  for  sanitary  troops  in 
garrison,  upon  Form  47  (for  the  periods  ending  Jan.  31,  Mar.  31,  May 
31,  July  31,  Sept.  30,  and  Nov.  30,  respectively),  and  monthly  for 
sanitary  troops  in  the  field,  upon  Form  47a,  by  the  immediate  com- 
manding officer  of  every  sanitary  formation,  and  wiU  be  forwarded 
through  medical  channels  to  the  Surgeon  General  v.dthin  five  days 
after  the  close  of  its  period.  A  final  return  wiU  be  made  upon  the 
breaking  up  of  each  such  sanitary  formation. 

CONTRACT   SURGEONS. 

51.  Extract  from  the  act  of  February  2,  1901,  section  18  (31  Stats., 

752): 

That  in  emergencies  the  Surgeon  General  of  the  Army,  with  the  approval  of  the 
Secretary  of  War,  may  appoint  as  many  contract  surgeons  as  may  be  necessary,  at  a 
compensation  not  to  exceed  ?;150  per  month. 

52.  Contracts  with  private  physicians  are  entered  into  only  by  the 
Surgeon  General  or  by  his  authority.  They  are  either  general  or 
special. 


32  MANUAL  FOR   MEDICAL   DEPARTMENT,  U.    S.    ARMY. 

(«)  General  contracts  will  be  made  on  Form  44;  special  on  Form 
44a.  If  made  by  the  Surgeon  General  himself  they  will  be  executed 
in  triplicate,  one  number  for  the  physician,  the  other  two  for  the 
Surgeon  General  and  the  Auditor  for  the  War  Department.  When 
the  contract  is  made  by  another  officer  a  fourth  number  should  be 
executed  to  be  retained  by  him. 

(b)  Contracts  will  be  annulled  only  in  conformity  with  their  stipu- 
lations. 

63.  A  general  contract  obligates  the  contract  surgeon  to  take 
station  and  change  station  as  ordered.  He  is  furnished  quarters  at 
the  military  post  where  he  is  stationed,  and  is  expected  to  give  his 
entire  time  to  the  public  service.  He  receives  pay  as  stipulated  in 
the  contract,  and  the  travel,  fuel,  and  light  allowances  of  a  first 
lieutenant.  Under  existing  law  it  is  not  the  policy  of  the  department 
to  make  or  authorize  general  contracts  except  in  extraordinary 
cases,  and  upon  a  full  exhibition  of  the  necessity  thereof.  If  the 
exigency  requiring  the  employment  of  a  contract  surgeon  is  likely  to 
be  temporary,  the  contract  will  be  made  for  a  term  of  three  months 
only  or  less.  If  its  longer  continuance  is  probable,  the  term  will 
usually  be  one  year.  In  either  event  it  is  subject  to  annulment 
when  the  services  of  the  physician  are  no  longer  required. 

(a)  Short-term  general  contracts  may  be  made  with  any  graduate 
of  a  reputable  medical  school  legally  authorized  to  confer  the  degree 
of  doctor  of  medicine,  who  has  qualified  to  practice  medicine  in  the 
State  or  Territory  in  which  he  resides.  Appropriate  evidence  that 
he  has  so  qualified  should  be  required  before  the  contract  with  him  is 
executed. 

(6)  Long-term  general  contracts  will  be  made  only  with  such 
graduate  and  qualified  practitioners,  who  are  citizens  of  the  United 
States,  after  they  shall  have  passed  an  appropriate  examination  as  to 
their  physical  and  professional  qualifications  for  the  military  service. 
Applications  for  employment  under  such  contracts  will  be  made  to 
the  Surgeon  General,  who  will  furnish  blanks  for  the  purpose  upon 
request.  They  will  be  considered  only  as  the  exigency  requiring  the 
appointment  of  a  contract  surgeon  shall  arise.  They  must  in  each 
case  be  accompanied  by  testimonials  from  at  least  two  reputable 
persons  as  to  the  applicant's  citizenship,  character,  and  habits,  and 
by  a  certificate  from  the  proper  local  official  that  the  applicant  has 
qualified  to  practice  medicine  in  the  State  or  Territory  where  he 
resides.  Should  the  application  be  favorably  considered,  the  appli- 
cant will  at  the  proper  time  be  invited  to  appear  before  the  examining 
board  at  the  place  most  convenient  for  him.  No  allowances  will  be 
made  for  his  expenses  while  undergoing  examination.  The  examina- 
tions will  be  conducted  under  instructions  from  the  Surgeon  General, 
by  boards  of  one  or  more  officers  of  the  Medical  Corps  convened 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  33 

therefor  at  military  posts  or  stations.  Upon  presenting  himself  to 
the  board  the  applicant  should  submit  his  diploma,  and  evidence  of 
his  citizenship  (if  of  foreign  birth),  which  V\-ill  be  returned  to  him 
upon  the  conclusion  of  the  examination.  Having  inspected  his 
diploma  and  the  evidence  of  his  citizenship,  the  board,  if  the  same 
are  found  satisfactory,  will  then  make  a  thorough  physical  examina- 
tion of  the  applicant,  which  must  conform  in  all  respects  to  that 
required  of  candidates  for  commission  in  the  Medical  Corps.  If  any 
physical  disqualification  for  the  service  is  found  the  examination  will 
be  discontinued.  The  board  will  report  the  physical  examination  on 
the  form  provided  therefor.  Should  no  physical  disqualification  be 
found,  the  board  will  next  proceed  with  a  professional  examination 
of  the  applicant  similar  to  that  prescribed  in  the  case  of  applicants  for 
appointment  in  the  Medical  Reserve  Corps  (par.  i6c).  It  will  make 
a  full  report  of  the  examination  of  each  applicant  and  forward  all  the 
papers  connected  therewith  direct  to  the  Surgeon  General.  If  the 
examination  is  satisfactory  a  contract  will  in  due  season  be  sent  the 
applicant  for  signature. 

64.  Special  contracts  are  for  local  service  only,  at  stations  therein 
designated,  as,  for  example,  at  arsenals,  where  the  amount  of  service 
called  for  is  not  usually  sufficient  to  svarrant  the  assignment  thereto  of 
a  medical  officer.  No  travel  under  such  contracts  is  required.  The 
physician  contracted  with  is  neither  expected  to  take  station  at  the 
post  nor  to  give  up  his  private  practice,  except  in  so  far  as  he  has  to 
do  so  m  order  to  carry  out  his  public  duties.  He  is  not  furnished 
quarters  or  other  allowances,  and  his  pay  proper  constitutes  his  entire 
compensation. 

(a)  Special  contracts  ma}^  be  made  with  any  graduate  of  a  reputable 
medical  school,  legally  authorized  to  confer  the  degree  of  doctor  of 
medicine,  who  is  a  citizen  of  the  United  States  and  has  qualified  to 
practice  medicine  in  the  State  or  Territory  in  which  he  resides. 
Appropriate  evidence  that  he  is  a  citizen  of  the  United  States,  and 
that  he  has  qualified  to  practice  as  above,  should  be  required  before 
the  contract  with  him  is  executed. 

PERSONAL    REPORTS. 

55.  Contract  surgeons  will  render  personal  reports  similar  to  those 
made  by  officers  of  the  Medical  Corps  under  paragraphs  12  and  13. 

NURSE   CORPS. 

53.  Extract  from  the  act  of  February  2,  1901  (31  Stats.,  753): 

Sec.  19.  That  the  Nurse  Corps  (female)  shall  consist  of  one  superintendent,  to  be 

appointed  by  the  Secretary  of  War,  who  shall  be  a  graduate  of  a  hospital  training 

school  having  a  course  of  instruction  of  not  less  than  two  years,  whose  term  of  office 

may  be  terminated  at  his  discretion,  whose  compensation  shall  be  one  thousand  eight 

70156°— 18 3 


34  MANUAL  FOE    MEDICAL  DEPAETMENT^   U.    S.    ABMY. 

hundred  dollars  per  annum,  and  of  as  many  cliief  nurses,  nurses,  and  reserve  nurses 
as  may  be  needed.  Reserve  nurses  may  be  assigned  to  active  duty  when  the  emer- 
gency of  the  service  demands,  but  shall  receive  no  compensation  except  when  on  such 
duty:  Provided,  That  all  nurses  in  the  Nurse  Corps  shall  be  appointed  or  removed  by 
the  Surgeon  General,  -with  the  approval  of  the  Secretary  of  War;  that  they  shall  be 
gi-aduates  of  hospital  training  schools,  and  shall  have  passed  a  satisfactory  professional, 
moral,  mental,  and  physical  examination:  Arid  provided,  That  the  superintendent  and 
nui-ses  shall  receive  transj)ortation  and  necessary  expenses  when  traveling  under 
orders;  that  the  pay  and  allowances  of  nurses,  and  of  reserve  nurses  when  on  active 
service,  shall  be  forty  dollars  per  month  when  on  duty  in  the  United  States  and  fifty 
dollars  per  month  when  on  duty  mthout  the  limits  of  the  United  States.  They  shall 
be  entitled  to  quarters,  subsistence,  and  medical  attendance  during  illness,  and  they 
may  be  granted  leaves  oi  absence  for  thirty  days,  with  pay,  for  each  calendar  year; 
and,  when  serving  as  chief  nurses,  their  pay  may  be  increased  by  authority  of  the 
Secretary  of  War,  such  increase  not  to  exceed  twenty-five  dollars  per  month.  Pay- 
ments to  the  Nurse  Corps  shall  be  made  by  the  Pay  Department. 

(a)  The  foregoing  was  modified  by  the  terms  of  the  act  of  March  23, 
1910  (36  Stats.,  249),  as  follows: 

The  superintendent  and  members  of  the  Female  Nurse  Corps  shall  hereafter  be  paid 
at  the  following  rates:  Superintendent  Nurse  Corps,  one  thou.sand  eight  hundred 
dollars  per  annum:  female  nm-ses,  fifty  dollars  per  month  for  the  first  period  of  three 
years'  ser\dce:  fifty-five  dollars  per  month  for  the  second  period  of  three  years'  service; 
sixty  dollars  per  month  for  the  third  period  of  three  years'  service:  and  sixty-five 
dollars  per  month  after  nine  years'  service  in  said  Nurse  Corps;  and  all  female  nurses  , 
shall  hereafter  be  entitled,  in  iiddition  to  the  rates  of  pay  as  herein  provided,  to  ten 
dollars  per  month  when  serving  beyond  the  limits  of  the  States  comprising  the  I'nion 
and  the  Territories  of  the  United  States  contiguous  thereto  (excepting  Porto  Rico 
and  Hawaii ),  and  to  cumulative  leave  of  aljsence  ^^-ith  pay  at  the  rate  of  thirty  days  for 
each  calendar  year  of  service  in  said  corps:  and  when  serving  as  chief  nurses  their 
pay  may  be  increased  by  authority  of  the  Secretary  of  War.  such  increase  not  to  exceed 
thii-ty  dollars  per  month:  and  the  superintendent  shall  be  entitled  to  the  sajne 
allowances,  when  on  duty,  as  the  members  of  the  Nurse  Corps. 

(h)  Extract  from  the  act -of  March  4,  1912  (37  Stats.,  72): 
That  the  superintendent  and  members  of  the  Female  Nurse  Corps  when  serving  in 
.■Vlaslca  or  at  places  without  the  limits  of  the  United  States  may  be  allowed  the  same 
priA-ileges  in  regard  to  cumulative  leaves  of  absence  and  method  of  computation  of 
same  as  are  now  allowed  by  law  to  Army  officers  so  serving. 

(c)  Plxtract  from  the  act  of  March  4,  1915  (38  Stats.,  1068): 

That  the  superintendent  shall  receive  such  allowances  of  quarters,  subsistence,  and 
medical  care  during  illness  as  may  be  prescribed  in  regulations  by  the  Secretary  of 
War. 

(d)  Extract  from  the  act  of  March  4,  1915  (38  Stats.,  1069): 
Hereafter  at  places  where  there  are  no  public  quarters  available,  commutation  for 

the  authorized  allowance  therefor  shall  be  paid  to     *     *     *     members  of  the  Nurse 
Corps    *    *     *    at  the  rate  of  $12  per  room  per  month. 

THE    SUPERINTENDENT. 

67,  The  superintendent,  under  the  direction  of  the  Surgeon 
General,  has  general  supervision  of  the  corps.  She  M'ill,  by  author- 
ized inspections  from  time  to  time  and  by  reference  to  the  prescribed 


MANUAL   FOR   MEDICAL   DEPARTMENT,  V.   S.   ARMY.  35 

reports  and  returns,  keep  herself  constantly  informed  of  the  numbers, 
distribution,  and  com.petency  of  the  individual  members  of  the  corps, 
and  of  its  state  and  condition  as  a  whole.  She  will  communicate 
with  nurses'  training  schools,  nurses'  associations,  and  similar  pro- 
fessional bodies  with  a  view  to  ascertaining  where  acceptable  nurses 
for  Army  service  may  be  available;  will  conduct  the  necessary  cor- 
resiDondence  concerning  the  qualifications  of  applicants  for  appoint- 
ment in  the  corps;  will  make  the  professional  examination  of  those 
who  shall  meet  the  required  preliminary  conditions;  and  when 
vacancies  occur  will  recommend  the  appointment  to  the  same  of 
eligible  applicants.  She  \^ill  prepare  the  questions  for  the  examina- 
tion of  nurses  for  promotion  to  the  grade  of  chief  nurse,  will  rate  the 
ansAvere  received  thereto,  and  will  recommend  the  promotion  of  those 
found  qualified  as  their  services  shall  be  needed.  She  will  make 
tim.oh-^  recommendations  regarding  the  assignment,  transfer,  dis- 
cipline, and  discharge  of  nurses,  and  the  reduction  and  discharge  of 
chief  nurses.  She  will  endeavor  by  all  suitable  means  within  her 
power  to  maintain  the  usefulness  of  the  corps  as  a  part  of  the  Medical 
Department  of  the  Army,  will  propose  to  the  Surgeon  General  as 
occasion  requires  appropriate  measures  for  the  promotion  of  its 
morale  and  efficiency,  and  will  perform  such  other  supervisory  duties 
as  the  Surgeon  General  shall  prescribe. 

CHIEF    NURSES,    THEIR    SELECTIOX,    REDUCTION,    AND    DISCHARGE. 

58.  Chief  nurses  are  not  aj^pointed  as  such,  but  are  selected  by 
promotion  from  the  grade  of  nurse. 

(a)  When  tvvo  or  more  nurses  are  serving  at  the  same  station 
one  will  be  assigned  to  duty  as  chief  nurse. 

59.  Permanent  assignments  to  dut}^  as  chief  nurse  are  made  only 
by  the  Surgeon  General,  upon  the  recommendation  of  the  superin- 
tendent. A  nurse  will  not  be  permanently  assigned  to  duty  as  chief 
nurse  unless  she  shall  have  passed  a  satisfactory  examination. 

(a)  Nurses  who  exhibit  marked  executive  ability,  good  judgment, 
and  tacj:  will  be  recommended  to  the  Surgeon  General  by  the  com- 
manding officer  of  the  hospital  or  other  sanitary  formation  with 
which  they  are  on  duty  for  examination  for  promotion  to  the  grade 
of  chief  nurse. 

(b)  Any  nurse,  regardless  of  the  length  of  her  service,  may  request 
examination  for  promotion  to  the  grade  of  chief  nurse.  Her  request 
will  be  forwarded  to  the  Surgeon  General  through  her  immediate 
commanding  officer  Avith  his  recommendations  m  the  premises,  and 
the  recommendations  of  his  chief  nurse  if  he  has  one. 

(c)  Nurses  approved  and  recommended  for  promotion  under  the 
above  provisions,  and  such  others  as  shall  be  selected  by  the  super- 


36  MANUAL   FOR    MEDICAL   DEPAETMENT,    U.    S.    AEMY. 

intondont,  shall  be  eligible  for  examination  for  permanent  assignment 
to  duty  as  chief  nm^ses. 

(d)  At  such  times  as  he  may  deem  necessary  the  Surgeon  General 
will  designate  a  medical  officer  to  conduct  the  examination  of  ap- 
proved candidates.  He  will  in  due  season  transmit  lists  of  questions 
prepared  by  the  superintendent  to  the  examining  officer,  who  will 
safeguard  them  against  premature  disclosure,  will  make  sure  that 
the  candidates  receive  no  unauthorized  assistance  during  the  exam- 
ination, and  will  upon  its  conclusion  transmit  all  the  examination 
papers,  including  both  questions  and  ansv/ers,  to  the  Surgeon  Gen- 
eral for  his  action. 

60.  A  nurse  permanent!}^  assigned  to  duty  as  chief  nurse  will  not 
ordinarily  be  relieved  therefrom  except  by  direction  of  the  Surgeon 
General;  but  in  case  of  serious  misconduct  she  may  be  summarily 
relieved  and  assigned  to  duty  as  nurse  pending  sucb  further  meas- 
ures of  discipline  as  ma}^  be  deemed  necessary.  If  for  any  other 
reason  the  services  of  a  permanent  chief  nurse  are  no  longer  required 
as  such  the  commanding  officer  of  the  hospital  or  other  sanitary 
formation  may  temporarily  relieve  her  from  duty  as  chief  nurse  and 
assign  her  to  duty  as  nurse;  or  if  she  so  elects  she  may  be  honorably 
discharged  from  the  corps.  All  reductions  from  chief  nurse  to  nurse 
for  whatever  cause  wilLbe  at  once  reported  to  the  Surgeon  General, 
with  a  full  statement  of  the  reasons  for  the  action  taken. 

61.  Pending  the  permanent  assignment  of  a  chief  nurse  the  com- 
mandmg  officer  of  the  hospital  or  other  sanitary  formation  where 
two  or  more  nurses  are  serving  may  assign  one  of  them  temporarily 
to  duty  as  chief  nurse.  A  nurse  so  assigned  shall  be  known  as 
^'temporary  chief  nurse"  and  shall  hold  such  assignment  only  so 
long  as  no  properly  qualified  permanent  chief  nurse  is  available. 
While  serving  under  such  assignment  she  shall  be  entitled  to  the 
same  pay  and  allowances  she  would  receive  if  she  were  a  permanent 
chief  nurse. 

(a)  Temporary  chief  nurses  may  be  relieved  from  duty  as  such 
and  assigned  to  duty  as  nurses  at  the  discretion  of  their  immediate 
commanding  officers. 

APPOINTMENT    OF    NURSES. 

62.  Applications  for  appointment  in  the  Nurse  Corps  should  be 
made  to  the  superintendent,  who  will  furnish  blanks  therefor. 

(a)  An  applicant  for  first  appointment  must  be  between  25  and 
35  years  of  age  and  unmarried.  If  not  a  citizen  of  the  United  States, 
she  must  before  appointment  make  a  declaration  of  her  intention  to 
become  such,  and,  if  she  wishes  to  continue  in  the  Nurse  Corps, 
must  at  the  proper  time  take  out  final  naturalization  papers. 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY.  37 

(b)  Applications  from  States  and  Territories  where  registration  is 
required  by  law  will  be  considered  in  the  cases  only  of  graduates  of 
trainmg  schools  which  are  acceptable  to  the  State  or  Territorial 
boards  of  registration.  In  makmg  appointments  from  among  eligi- 
ble applicants  residing  in  such  States  and  Territories  preference  will 
be  given  ta  those  who  are  registered. 

(c)  Nurses  who  have  had  previous  service  in  the  Army  Nurse 
Corps  and  are  otherw-ise  acceptable  will  be  given  preference  for 
appointment  over  new  nurses  who  qualify  for  the  corps. 

63.  Physical  qualifications. — The  applicant's  physical  fitness  for 
service  will  be  ascertained  by  a  careful  physical  examination.  The 
examination  will  be  made  when  practicable  by  a  medical  officer  of 
the  Ai-my  at  his  proper  station.  Wlien,  however,  this  would  require 
the  applicant  to  make  an  unreasonably  long  journey,  the  Surgeon 
General  may  authorize  her  exammation  by  a  private  physician  of 
good  repute  in  the  vicmity  of  her  residence.  The  appHcant  must  be 
not  less  than  60  inches  nor  more  than  70  inches  in  height;  and  must 
weigh  not  less  than  100  pounds,  nor  more  than  195  pounds.  Marked 
disproportion  between  height  and  weight  will  be  a  cause  of  rejection. 
The  medical  examiner  will  send  his  report  direct  to  the  superin- 
tendent and  not  give  it  to  the  applicant.  Its  contents  will  be 
regarded  as  confidential.     (See  also  par.  74rt.) 

64.  Moral,  frofessional,  and  mental  qualifications. — ^An  applicant 
will  not  be  eligible  for  appointment  in  the  Nurse  Corps  unless  she 
shall  have  graduated  from  a  training  school  for  nurses  giving  a 
thorough  professional  education,  both  theoretical  and  practical,  and 
requu-ing  a  residence  of  at  least  two  years  iii  an  acceptable  general 
hospital  of  100  beds  or  more;  except  that  graduates  of  training 
schools  connected  with  hospitals  not  meeting  the  above  requu-ements 
may,  upon  submitting  proof  of  at  least  six  months'  subsequent 
experience  in  a  large  general  hospital,  be  put  on  the  eligible  list  if 
found  otherwise  qualified.  To  ascertaui  the  applicant's  qualifica- 
tions the  superintendent  of  the  Nurse  Corps  will  request  a  certificate 
from  the  supermtendent  of  the  school  from  which  the  applicant 
graduated,  showing:  (1)  The  date  of  the  applicant's  graduation; 
and  (2)  her  moral  character  and  professional  qualifications  during 
her  period  of  trainmg,  at  the  date  of  her  graduation,  and  (so  far  as 
known)  at  the  time  of  the  application.  If  the  applicant  was  trauied 
under  a  former  superintendent,  the  latter  may  also  be  asked  for  a 
certificate.  These  certificates  will  be  regarded  as  confidential. 
Applicants  must  submit  such  other  evidence  of  fitness  as  may  be 
requned. 

(ft)  The  professional  and  mental  examination  of  appHcants  will  be 
in  writing  and  will  be  conducted  by  the  superintendent.  It  will 
ordinarily  take  the  form  of  requirmg  from  the  candidates  short  essays 


38  MANUAL  FOR   MEDICAL   DEPARTMENT^   U.    S.    ARMY. 

or  papers  on  j^ractical  professional  subjects  selected  b\'  the  superin- 
tendent. The  subjects  selected  will  bo  furnished  to  each  applicant 
with  her  application  blanks,  and  she  will  submit  her  essay  with  her 
formal  application.  The  essay  must  be  in  the  handwriting  of  the 
applicant.     TypeMTitten  papers  will  not  be  acce})ted. 

65.  Applicants  who  fulfill  the  prescribed  conditions  as  to  their 
physical,  moral,  professional,  and  mental  qualifications  will  be  placed 
on  the  eligible  list  for  appointment  as  their  services  may  be  required. 

66.  No  applicant  will  be  appointed  unless  she  shall  agree  to  serve 
for  tliree  years. 

67.  A  nurse  who  desires  to  continue  in  the  corps  after  three  years' 
service  therein  will  apply  for  continuation  of  service  by  letter  for- 
warded at  least  four  months  before  the  end  of  the  three  years  to  the 
Surgeon  General,  through  the  commanding  officer  of  the  hospital  or 
other  sanitary  formation  to  which  she  is  attached,  who  will  forward 
therewith  his  recommendations  in  the  premises  and  the  recommenda- 
tions of  the  chief  nurse.  If  the  recommendations  of  her  commanding 
officer  are  unfavorable  the  nurse  will  be  promptlj^  notified  of  that 
fact.  To  obtain  favorable  action  on  such  application  the  nurse 
must  have  had  a  satisfactory  record  for  efficiency  and  conduct. 
The  superintendent  of  the  Nurse  Corps  will  advise  the  Surgeon 
General  v/hether  the  apphcant's  record  is  such  as  to  make  her  con- 
tinuance in  the  corps  desirable.  Due  notice  will  be  given  to  the  appli- 
cant and  officers  concerned  of  the  action  taken  upon  the  application. 

(a)  A  similar  procedure  for  continuation  of  service  will  be  followed 
toward  the  end  of  every  period  of  three  years  of  continuance  in  the 
corps. 

DISCHARGE. 

68.  A  nurse  who  fails  to  apph'  for  continuation  of  service  as  pro- 
vided in  paragraph  67,  or  vihose  continuance  in  the  service  is  not 
authorized  by  the  Surgeon  General,  will  be  discharged  on  or  about 
the  expiration  of  the  three-year  period  in  which  she  is  serving,  making 
due  allowance  for  accrued  leave  of  absence;  the  period  of  three 
3^ears,  six  years,  nine  3'ears,  etc.,  as  the  case  may  be,  to  be  calculated 
ftom  the  date  of  her  letter  of  appointment:  Provided,  That  a  nurse 
under  orders  to  proceed  to  her  home  to  await  discharge  will  not  bo 
discharged  until  she  shall  have  arrived  home,  or  shall  have  had 
sufficient  time  to  arrive  home  by  following  the  usual  route  of  travel 
with  ordinary  diligence.  Nurses  may  also  by  order  of  the  Surgeon 
General  be  discharged  at  any  time,  regardless  of  the  three-year 
periods,  making  due  allowances  for  accrued  leaves  of  absence: 
(1)  Because  of  their  reduction  from  the  grade  of  chief  nurse  (see 
par.  60) ;  (2)  because  of  a  reduction  of  the  mihtary  establishment 
or  a  decrease  in  the  number  of  sick  re([uiring  nursing  which  makes 


MANUAL   FOR   MEDICAL   DEPARTMENT^   U.    S.    ARMY.  39 

tlieir  further  einployineiit  unnecessary;  (3)  because  of  their  own 
illness  disabling  them  from  the  performance  of  their  duties  (see  par. 
87);  (4)  because  of  their  uusuitability  for  the  military  service; 
(5)  because  of  their  own  misconduct;  and  (6)  in  proper  cases  on 
their  own  application. 

(a)  Honorable  discliarges  will  be  given  in  all  cases  except  to 
nurses  discharged  for  misconduct  or  to  those  whose  resignations  are 
accepted  conformably  to  the  provisions  of  paragraph  70a. 

(h)  Discharges  will  be  executed  by  the  commanding  officer  of  the 
hospital  or  other  sanitary  formation  to  which  the  nurses  are  attached. 

69.  Kecommendations  for  the  discharge  of  a  nurse  on  account  of 
misconduct  will  be  submitted  to  the  Surgeon  General,  with  a  report 
of  the  facts,  after  a  careful  investigation,  in  which  she  shall  have  had 
a  fair  opportunity  to  be  heard  in  her  own  defense.  The  term  ' '  mis- 
conduct" includes  the  case  of  a  nurse  who  of  her  own  motion  quits 
or  abandons  the  service  in  advance  of  discharge. 

70.  A  nurse  who,  havilig  served  continuously  more  than  three 
years,  desires  her  discharge,  may  obtain  the  same  upon  application 
therefor  by  letter  to  the  Surgeon  General.  If  she  is  on  duty^  her 
application  will  be  forwarded  through  her  immediate  commandmg 
officer;  if  she  is  on  leave  in  the  Phihppine  Islands,  it  will  be  forwarded 
through  the  department  surgeon;  in  other  cases  it  wiU  be  forwarded 
direct. 

(fl)  A  nui-se  who,  havmg  served  continuously  less  than  three  years, 
desires  her  discharge,  may  apply  therefor  by  letter  similarly  for- 
warded, stating  her  reasons  in  full.  If  these  reasons  are  sufficient 
in  the  judgment  of  the  Surgeon  General  he  may  grant  her  an  honor- 
able discharge;  if,  in  his  judgment,  they  are  not  sufficient,  he  may 
consider  her  application  a  resignation  and  accept  the  same. 

71.  Upon  honorable  discharge  from  the  service  the  -following 
indorsement  will  be  placed  upon  the  nurse's  letter  of  appointment : 

,  19—. 

With  the  approval  of  the  Secretary  of  War,  and  by  order  of  the  Surc:eon  General, 

dated ,  the  nurse  within  named  is  honorably  discharged  from  the  Army  Nurse 

Corps,  to  take  effect ,  19 — . 

United  States  Army. 

(a)  If  a  nurse  is  to  be  discharged  by  acceptance  of  her  resignation, 
the  following  indorsement  will  be  placed  on  her  letter  of  appoint- 
ment: 

— ■ -,  19~. 

With  the  approval  of  the  Secretary  of  War  the  resignation  of is  ac- 
cepted to  take  effect -,  19 — . 


United  States  Army. 


40  MA^'UAL   FOR   MEDICAL   DEPAKTMEXT,    U.    S.    AEMY. 

(b)  When  the  nurse  is  discharged  for  misconduct  the  word  "honor- 
ably" in  the  indorsement  of  discharge  will  be  omitted,  and  the  %vords 
"for  misconduct"  v/ill  be  inserted  after  the  word  "Corps." 

(c)  When  the  nurse's  letter  of  appointment  is  not  available  for 
the  indorsement  thereon  of  her  discharge,  a  letter  of  discharge  of 
e(iuivalent  purport  will  be  sent  to  her. 

72.  Except  as  provided  in  the  following  paragraph,  orders  to  pro- 
ceed to  her  home,  there  to  await  discharge,  will  be  given  to  every 
nurse  desiring  the  same  who  is  about  to  be  discharged.  In  arranging 
travel  orders  in  such  cases  it  must  be  borne  in  mind  that  the  Govern- 
ment will  not  pay  the  traveling  expenses  of  a  nurse  in  the  status  of 
leave  of  absence. 

(«)  When  a  nurse  arrives  home  for  discharge  she  will  at  once  report 
by  letter  to  the  Surgeon  General  inclosing  her  letter  of  appointment 
and  a  copy  of  her  official  travel  order. 

73.  Orders  to  proceed  to  her  home  will  not  be  given  (1)  to  a  nurse 
who  is  discharged  on  her  own  request  before  the  expiration  of  three 
years  of  continuous  service,  except  to  a  nurse  who  is  to  be  discharged 
upon  her  own  election  because  of  reduction  from  the  grade  of  chief 
nurse;  (2)  or,  before  the  completion  of  two  years  of  continuous  serv- 
ice in  the  Philippine  Islands,  to  a  nurse  on  service  in  those  islands 
who  is  discharged  on  her  own  request,  or  who,  failing  to  apply  for 
continuation  of  service  at  the  end  of  the  three-year  period  in  which 
she  is  serving,  is  discharged  on  or  about  the  expiration  of  such  period 
conformably  to  paragraph  68;  (3)  or  to  a  nurse  who  is  discharged  for 
misconduct. 

(a)  Any  nurse,  hov»^ever,  who  is  discharged  for  misconduct  while 
serving  beyond  the  continental  limits  of  the  United  States,  or  in  the 
Canal  Zone,  or  in  Alaska,  will  be  furnished  transportation  to  a  home 
port  and  allowed  the  necessary  expenses  incident  to  travel  thereto, 
provided  she  applies  for  the  same  within  30  days  of  the  date  of  her 
discharge. 

ASSIGNMENTS    AXD    TRANSFERS.- 

74.  Army  nurses  will  be  assigned  to  duty  at  hospitals  or  other 
sanitary  formations  in  the  United  States  or  abroad,  and  on  trans- 
ports, according  to  the  needs  of  the  service. 

(a)  At  the  station  where  a  nurse  first  reports  for  duty  after  her 
appointment,  the  surgeon  will  require  her  to  undergo  a  careful  physi- 
cal examination.  A  report  of  the  same  will  be  forwarded;  on  Form 
69,  direct  to  the  Surgeon  General.     (See  also  par.  63.) 

(h)  Usually  the  nurse's  first  assignment  will  be  to  a  station  in  the 
United  States,  to  afford  her  an  opportunit}-  to  become  acquainted 
with  military  usages. 

(c)  The  usual  tour- of  duty  without  the  limits  of  the  United  States 
proper  will  be  two  years. 


MANUAL   FOR    MEDICAL   DEPARTMBNT,    U.    S.    ARMY.  41 

75.  When  nurses  are  required  for  service  with  any  organization 
of  the  Medical  Department,  the  commanding  officer  thereof  will,  by- 
letter  stating  the  circumstances  and  necessities  of  the  case,  make 
application  through  the  department  surgeon  to  the  Surgeon  General, 
or,  in  the  case  of  independent  commands,  direct  to  the  Surgeon  Gen- 
eral, for  as  many  as  may  be  needed. 

(a)  Should  there  be  a  surplus  of  nurses  with  any  hospital  or  other 
sanitary  formation,  the  commanding  officer  thereof  will  in  like  man- 
ner immediately  report  the  fact  to  the  Surgeon  General.  In  the 
case  of  surplus  nurses  serving  beyond  the  limits  of  the  United  States 
the  surgeon  of  the  forces  with  wliich  they  are  on  duty  will  recom- 
mend to  the  commanding  general  that  they  be  returned  to  the  United 
States.  Nurses  so  returned  will  on  arrival  at  the  home  port  report 
at  once  to  the  department  surgeon  of  the  territorial  department 
within  the  limits  of  which  the  port  is  situated,  who  Avill  place  them 
on  temporary  duty  and  request  instructions  as  to  his  further  action 
in  the  premises  from  the  Surgeon  General. 

76.  A  nurse  will  not  leave  her  station  except  under  orders  or  when 
granted  a  leave  of  absence. 

(a)  When  a  nurse  leaves  her  station  under  orders  or  on  leave  of 
absence  the  commanding  officer  of  the  organization  of  the  Medical 
Department  with  which  she  has  been  on  duty  will  indorse  on  her  letter 
of  appointment  the  date  of  her  departure  and  the  date  and  source 
of  the  authority  therefor.  The  letter  of  appointment  will  be  given 
to  the  nurse,  together  with  a  copy  of  her  travel  order.  The  date  of 
arrival  at  her  new  station  or  of  return  to  duty  will  be  similarly  indorsed 
on  her  letter  of  appointment. 

(&)  When  a  nurse  leaves  her  station  under  orders  to  proceed  to 
another  station  the  surgeon  of  the  station  from  wliich  she  departs  will 
prepare  in  her  case  a  record  of  assignment  and  pay,  Form  66,  and 
mail  the  same  without  delay  to  the  officer  to  whom  she  is  ordered  to 
report.  Should  she  be  again  transferred  without  having  been  absent 
or  having  received  pay  at  her  new  station,  her  commanding  officer 
may,  instead  of  preparing  a  new  record,  forward  the  one  received 
by  him  to  her  next  commanding  officer  by  indorsement  expressly 
stating  such  facts. 

77.  Nurses  will  not  be  transferred  from  one  department  to  another 
except  by  authority  of  the  Surgeon  General,  but  a  department  sur- 
geon may  transfer  nurses,  should  the  exigencies  of  the  service  require 
it,  from  one  hospital  to  another  within  his  department. 

PAY. 

(See  par.  5'ia.) 

78.  The  pay  of  chief  nurses  at  general  hospitals,  at  base  hospitals, 
and  on  hospital  ships  vrill  be  their  pay  as  nurses  plus  $30  a  month. 
The  pay  of  other  chief  nurses  will  ordinarily  be  their  pay  as  nurses 


42  MANUAL  FOE    KfgpICAL   DEPARTMENT^   V.    S.    AEMY. 

plus  $20  a  month;  but  in  cases  where  special  skill  and  capability  are 
required  the  Surgeon  General  in  his  discretion  may  increase  the 
additional  amount  to  not  more  than  $30  a  month. 

(a)  The  additional  pay  provided  for  chief  nurses  as  above  can  ])e 
allowed  to  them  onl}"  w^hen  they  are  actually  serving  as  such.  ^Yhen 
on  leave  of  absence  or  en  route  between  stations  they  can  draw  only 
their  pa}^  as  nurses. 

79.  Subject  to  the  modifications  indicated  hereinafter,  nurses, 
including  chief  nurses,  will  be  paid  monthly  on  pay  rolls  prepared 
and  certified  by  the  commanding  officer  of  the  hospital  or  other  sani- 
tary formation  to  which  they  are  attached  for  duty.  Blank  forms 
for  the  purpose  will  be  furnished  ]\y  the  Quartermaster  Corps.  The 
instructions  thereon  must  be  carefully  observed. 

(a)  Discharged  nurses  will  be  paid  on  pay  rolls  certified  by  the 
commanding  officer  of  the  hospital  or  other  sanitary  formation  to 
which  they  were  attached  at  the  time  of  discharge. 

(b)  The  pa}'  accounts  of  nurses  ordered  home  for  discharge  will 
be  prepared  in  the  office  of  the  Surgeon  General. 

(c)  All  payments  to  nurses  must  he  noted  on  their  letters  of  appoint- 
ment. 

QUARTERS. 

80.  When  practicable,  the  allowance  of  quarters  provided  by 
Army  Regulations  for  nurses  on  duty  in  hospitals  will  include  1 
dining  room,  1  kitchen,  1  sitting  room,  and  the  necessary  toilet  rooms 
for  the  common  use  of  all  the  nurses,  and  a  separate  bedroom  for 
each  nurse  and  chief  nurse;  also  at  hospitals  where  more  than  5  nurses 
are  stationed,  an  office  and  a  separate  sitting  room  for  the  chief  nurse. 

(a)  The  Medical  Department  will  suppl}^  the  necessary  furniture 
and  care  for  the  quarters  of  nurses  on  duty  in  hospitals.  Sheets, 
towels,  pillowcases,  table  linen,  and  other  washable  articles  so  sup- 
plied wall  be  laundered  as  a  part  of  the  hospital  laundry. 

SUBSISTENCE. 

81.  The  rations  of  nurses  and  chief  nurses  on  duty  in  hospitals 
are  commuted  at  rates  authorized  in  Army  llegulations,  and  paid  into 
the  hospital  fund  conformably  to  the  provisions  thereof  and  of 
paragraph  248  of  this  Manual.  The  commanding  officer  of  the  hos- 
pital will  provide  a  proper  mess  for  the  members  of  the  Nurse  Corps, 
including  service,  allowing  them  their  equitable  share  in  all  the 
revenues  of  the  fund. 

(«)  Nurses  and  chief  nurses  on  Government  transports  are  fur- 
nished meals  free  of  charge  in  the  saloon  mess. 

(b)  When  on  duty  in  a  city  or  town  or  at  a  station  where  sul)- 
sistence  is  not  furnished  by  the  Government,  and  when  on  leave  of 
absence  with  pay,  tliey  receive  commutation  of  ralions  at  rates  fixed 
in  Army  Regulations.     {C.  M.  M.  D.,  No.  6.) 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.   S.   ARMY.  43 

TRANSPOETATIOX    AND    TRAVELING    ALLOWANCES. 

82.  Nurses  traveling  under  orders  are  entitled  at  public  expense 
to  their  own  transportation  and  to  traveling  allov/ances  and  trans- 
portation of  baggage  as  provided  in  Army  Regulations.  They  will 
not  be  allowed  to  delay  en  route  except  when  such  dela}^  is  authorized 
in  the  travel  order.  All  such  authorized  delays  will  be  regarded  as 
leave. 

83.  The  Quartermaster  Corps  will  ordinarily  furnish  the  required 
transportation  in  kind,  or  will  issue  transportation  requests  upon 
carriers  for  the  same. 

(a)  When  transportation  in  kind  is  not  furnished,  and  transporta- 
tion requests  can  not  be  procured,  the  nurse  may  pay  her  own 
travel  fare  (v^'hich  must  not  exceed  the  cost  of  a  first-class  limited 
ticket  between  her  starting  point  and  her  destination),  and  ask  for 
reimbursement  in  her  expense  account  in  accordance  with  the  fol- 
lowing section; 

(b)  When  a  nurse  traveling  under  orders  incurs  traveling  expenses 
for  which  she  is  entitled  to  reimbursement  she  will  prepare  her 
account  of  the  same  on  Form  350  or  350a,  W.  D.,  inclosing  therewith 
an  itemized  statement  of  the  expenses,  in  duplicate  (showing  the  date 
when  and  the  place  where  each  item  thereof  was  incurred),  and 
receipts  for  the  several  items  charged,  or  her  certificate  that  it  was 
impracticable  to  obtain  them.  She  will  sign  and  make  oath  to  the 
correctness  of  the  voucher  before  an  officer  having  authority  to 
administer  oaths.  If  the  expenses  were  incurred  en  route  home 
for  discharge,  she  will  after  her  ai"rival  home  forward  the  completed 
voucher  to  the  Surgeon  General  for  his  action;  if  they  were  other- 
Avise  incurred,  she  will  submit  the  voucher  to  the  commanding 
officer  of  the  hospital  or  other  sanitary  formation  to  whom  she 
reports  at  the  end  of  her  journe}^,  who  will  certify  it  if  he  finds  it 
correct  and  transmit  it  to  the  nearest  disbursing  quartermaster  for 
settlement.  With  these  papers  the  nurse  will  send  a  copy  of  her 
official  travel  order. 

(c)  When  transportation  requests  issued  by  the  Quartermaster 
Corps  are  not  used,  or  when  they  are  exchanged  for  railroad  tickets 
and  the  tickets,  or  any  parts  of  the  same,  are  not  used,  the  unused 
transportation  requests,  tickets,  or  parts  of  tickets,  must  in  com- 
pliance vdih  Ai-my  Regulations  be  returned  to  the  officer  who  issued 
the  requests. 

84.  A  nurse  on  service  beyond  the  continental  limits  of  the  United 
States,  or  in  the  Canal  Zone,  or  in  Alaska,  who  is  ordered  to  a  home 
station,  or  to  her  home  for  discharge,  will  usually  be  provided  at  the 
station  where  she  is  serving  with  transportation  to  a  home  port.  On 
arrival  at  such  port  she  will  apply  to  the  depot  C[uartermaster  at  the 


44  MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

port  or  in  its  immediate  vicinity,  if  there  is  one,  for  the  further  trans- 
portation required,  exhibiting  her  travel  orders.  If  there  is  no  depot 
quartermaster  in  the  vicinity,  she  will  herself  procure  the  necessary 
further  transportation  conformably  to  the  provisions  of  paragraph 

83a. 

85.  Travel  to  and  from  points  beyond  the  limits  of  the  United 
States  and  between  island  possessions  will  be  by  Army  transport  in 
all  cases  where  practicable. 

MEDICAL    CARE    AND    TREATMENT. 

86.  A  nurse  is  entitled  to  medical  treatment  while  on  duty.  This 
will  ordinarily  be  furnished  at  the  hospital  to  which  she  is  attached; 
but  in  proper  cases  the  Surgeon  General,  or  the  department  sm-geon 
within  his  department,  may  order  a  nurse's  transfer  to  and  treatment 
in  some  other  Army  hospital.  When  the  treatment  required  by  a 
nurse  on  duty  can  not  otherwise  be  had,  the  necessary  civilian  service 
may  be  employed  as  authorized  by  Army  Regulations.  Bills  con- 
tracted by  a  nurse  for  medical  care  while  on  leave  or  absent  without 
leave  can  not  be  allowed. 

87.  A  nurse  will  not  be  discharged  for  disability  contracted  in  line 
of  duty  until  after  reasonable  time  has  been  allowed  for  treatment. 

88.  Upon  the  arrival  of  a  nurse  at  thefirst  station  to  which  she  is 
assigned  after  her  appointment,  she  will  be  vaccinated  against  small- 
pox. If  the  first  vaccination  is  noneffective  it  will  be  repeated  at 
the  end  of  eight  days. 

(a)  Existing  orders  require  that  all  persons  entering  the  military 
service  be  immunized  against  typhoid  fever.  (See  Appendix: 
Typhoid  Prophylaxis.) 

(b)  The  date  and  result  of  the  last  vaccination  against  smallpox, 
a,nd  the  date  of  the  administration  of  each  dose  of  the  typhoid 
vaccine,  will  be  indorsed  upon  the  nurse's  letter  of  appointment. 

(c)  The  medical  officer  under  whom  a  nurse  is  serving  will  be  held 
responsible  that  she  is  properly  protected  against  smallpox  and 
t^T^hoid  fever  in  accordance  with  the  above  requirements. 

LEAVE    OF    ABSENCE. 

89.  The  leave  year  of  a  member  of  the  Nm'se  Corps  will  be  reck- 
oned in  each  case  from  the  date  of  her  letter  of  appointment.  A 
leave  credit  of  two  and  one-half  days  for  each  month  of  completed 
service  and  leave  with  pay  under  her  appointment  will  be  allowed, 
against  which  will  be  charged  all  absence  on  leave  with  pay.  Leave 
credits  will  not  be  allowed  for  periods  of  absence  without  pay. 
Unused  leave  credits  may  accumulate  to  an  aggregate  not  exceeding 
120  days.  Leave  to  the  amount  of  the  accumulated  unused  leave 
credits  may  be  granted  whenever  the  exigencies  of  the  service  per- 


MANUAL  FOR   MEDICAL   DEPARTMENT,   U.   S.   ARMY.  45 

mit.  Final  leave  will  be  granted  prior  to  discharge  to  the  amount 
of  accumulated  leave  credits.  Extra  leave  of  absence  with  pay  on 
account  of  illness  can  not  be  granted. 

(a)  A  leave  credit  accruing  but  unused  under  one  appointment 
can  not  be  carried  over  and  become  available  under  a  subsequent 
appointment. 

90.  A  nurse  desiring  leave  of  absence  will  apply  therefor  in  writing 
through  the  chief  nurse  to  her  immediate  commanding  officer  for 
his  action  conformably  to  the  preceding  paragraph.  The  original 
paper  granting  the  leave  will  be  given  to  the  nurse. 

91.  Subject  to  the  modification  indicated  in  section  (a)  of  this  para- 
graph, when  accumulated  leave  of  absence  with,  pay  is  granted  to  a 
nurse  on  service  in  Alaska  or  beyond  the  continental  limits  of  the 
United  States  for  the  purpose  of  coming  to  and  returning  from  the 
United  States,  the  running  of  such  leave  shall  be  calculated  between 
the  date  she  reached  or  might  have  reached  the  United  States  and 
the  date  she  left  or  should  have  left  the  United  States  via  the  usually 
traveled  routes.  If  the  nurse's  return  to  service  abroad  is  not 
required,  the  termination  of  her  leave  shall  be  calculated  from  the 
date  she  arrived  or  should  have  arrived  in  the  United  States  via  the 
usually  traveled  route. 

(a)  In  the  case  of  a  nurse  coming  to  the  United  States  from  or 
going  from  the  United  States  to  service  in  the  Philippine  Islands 
who  desires  to  make  the  journey  by  a  route  other  than  the  custom- 
ary one  m  order  to  visit  foreign  countries  on  leave  of  absence  while 
en  route,  an  allowance  of  30  days  as  on  status  of  duty  without  right 
to  reimbursement  of  traveling  expenses  will  be  made,  in  addition 
to  the  time  granted  as  for  leave  of  absence,  to  cover  the  average 
amount  of  time  necessary  to  perform  the  journey  from  the  Philip- 
pine Islands  to  the  usual  port  of  arrival  in  the  United  States  or 
from  said  port  to  the  Philippine  Islands;  and  in  calculating  the  run- 
ning of  her  leave  the  said  period  of  30  days  for  travel  shall  in  each 
instance  be  excluded. 

(b)  When  leave  with  pay  is  granted  a  nurse  on  service  in  the  Phil- 
ippine Islands  to  be  absent  therefrom  other  than  to  come  to  the 
United  States,  the  rmming  of  such  leave  shall  be  calculated  between 
the  date  of  reaching  Manila  from  her  station  and  the  date  of  leaving 
Manila  in  returning  to  her  station. 

92.  Leave  of  absence  without  pay  and  allowances  is  permitted 
under  circumstances  indicated  in  Ai'my  Regulations;  and  may  be 
granted  in  other  cases  when  the  conditions  of  the  service  are  favorable. 

93.  Rescinded,  the  matter  being  covered  by  Special  Regulations 
No.  41,  Uniform  Regulations.     (0.  M.  M.  D.,  No.  8.) 

94.  The  nurse  may  procure  her  uniforms  after  she  reaches  her  post 
of  duty,  where  detailed  instructions  on  the  subject  will  be  supplied 
her. 


46  MANUAL   FOE    MEDICAL   DEPARTMENT,   V.   S.    ARMY. 

95.  Tlic  iudoor  uniform,  except  the  cuffs  ami  aproii,  will  invariably 
be  worn  during  the  hours  of  duty.  The  cuffs  and  apron  will  be  worn 
when  conditions  indicate  then-  need.  Nurses  not  m  uniform  will  not 
be  allowed  in  the  wards. 

(a)  The  outdoor  uniform  will  be  worn  at  such  times  as  the  Surgeon 
General  may  prescribe.  It  ma}'  be  worn  at  any  other  time  when  the 
nui-sc  is  riot  on  duty.     (C.  M.  M.  D.,  No.  3,) 

96.  Nurses'  uniforms  soiled  while  on  public  duty  will  be  washed  as  a 
part  of  the  hospital  laundry.      (See  par.  267.) 

97.  Rescinded,  the  matter  being  covered  bv  Special  Regulations 
No.  41,  Uniform  Regulations.     (C.  M.  M.  D.,  No.  8.) 

REPORTS    AND    RETURNS. 

98.  A  return  of  the  Nurse  Corps  is. required  monthly  from  every 
hospital  or  other  sanitary  formation  with  which  nurses  are  on  duty 
or  to  which  they  are  attached.  It  will  be  forwarded  on  Form  63, 
within  five  days  after  the  end  of  the  month  covered  by  it,  through  the 
department  surgeon  to  the  Surgeon  General,  or  in  the  case  of  inde- 
pendent commands  direct  to  the  Surgeon  General  unless  otherwise 
ordered  by  him. 

99.  An  efficiency  report  of  nurses  is  required  monthly  on  Form  62 
from  every  hospital  or  other  sanitary  formation  to  which  nurses  are 
assigned  or  attached,  and  will  include  all  the  nurses  on  duty  with  or 
attached  to  the  organization  during  the  month  or  any  part  thereof. 
It  will  be  prepared  and  signed  by  the  chief  nurse,  if  there  is  one^  other- 
wise by  the  commandmg  officer,  and  will  be  forwarded  by  the  latter 
within  five  days  after  the  end  of  the  month  through  the  channels  indi- 
cated m  the  precedmg  paragraph  for  the  monthly  return.  A  special 
efficiency  report  will  be  prepared  in  like  manner  for  every  nurse  upon 
her  departure  from  one  station  for  another,  showing  where  she  has 
gone  and  the  date  of  her  departure,  and  will  be  forwarded  in  duplicate 
within  five  days  after  the  change  to  the  commandmg  officer  of  the 
hospital  or  other  sanitary  formation  to  which  she  has  been  transferred. 
Should  two  or  more  nurses  make  the  same  change  at  the  same  time 
a  smgle  special  efficiency  report  covering  them  will  be  sufficient.  A 
copy  of  each  report  will  be  retained  by  the  commanding  officer  of  the 
organization  where  it  was  prepared,  and  will  be  open  to  the  inspection 
of  only  his  chief  nurse,  his  executive  officer,  and  higher  authority. 

(a)  A  special  efficiency  report  sent  to  a  nurse's  new  station  will  ])e 
attached  to  the  next  monthly  efficiency  re])ort  from  such  station  made 
after  its  receipt. 

100.  All  changes  in  the  ]>ersonnel  of  the  Nin-se  Corps  by  discharge, 
death,  etc.,  all  changes  in  the  stations  of  its  members  by  departure 
for  or  assignment  to  another  hospital  or  other  sanitary  formation, 
or  by  arrival  or  assignment  from  another  organization,  and  all  other 


MANUAL   FOR    MEDICAL   DEPARTMENT^,   U.    S.   ARMY.  47 

changes  in  tlieir  status  (such  as  from  present  for  duty  to  present  sick; 
from  present  sick  to  duty;  from  present  to  leave  of  absence;  specifying 
its  duration;  from  leave  of  absence  to  present),  including  changes  m 
assignments  as  chief  nurses,  will  be  reported  on  the  day  of  the  change 
through  the  department  surgeon  to  the  Surgeon  General,  or  in  the 
case  of  independent  commands  dnect  to  the  Surgeon  General. 

DL'TIES    OF    CHIEF    NURSES    AND    NURSES. 

101.  For  duties  of  members  of  the  Nurse  Corps  assigned  to 'hospitals 
see  paragraphs  311  to  315. 

RESERVE    NURSES. 
(See  par.  536.) 

102.  The  enrolled  nurses  of  the  American  National  Red  Cross  Nurs- 
ing Service  will  constitute  the  reserve  of  the  Army  Nurse  Corps,  and 
in  time  of  war  or  other  emergency  ma^^  with  their  own  consent  be 
assigned  to  active  duty  in  tiie  Military  Establishment.  When  the 
emergency  necessitating  the  emplo3"ment  of  reserve  nurses  is  immi- 
nent the  Surgeon  General  will  request  the  proper  officer  of  the  Red 
Cross  Society  to  nommate  from  among  the  enrolled  nurses  quahfied 
for  the  work  to  be  done  as  many  as  the  Surgeon  General  may  deem 
necessary  to  enable  him  to  choose  those  for  assignment  to  active  duty. 

(a)  "When  called  into  active  service  they  will  be  subject  to  all  the 
established  rules  and  regulations  for  the  government  of  the  Nurse 
Corps,  and  will  receive  the  pay  and  allowances  of  nurses  on  the 
regular  list. 

(h)  A  reserve  nurse  will  not  be  relieved  from  active  service  except 
by  order  or  authority  of  the  Surgeon  General.  Except  m  case  of 
misconduct  she  mil,  if  she  so  desires,  be  fm-nished  travel  orders  to  her 
home  before  the  order  of  relief  shall  take  effect.  The  provisions  of 
paragraph  73a  wdll  apply  to  reserve  nurses.  Upon  relief  from  active 
service  the  following  form  of  indorsement  will  be  placed  upon  the 
nurse's  letter  of  assignment,  if  the  same  is  available;  otherwise  a 
letter  of  equivalent  purport  will  be  sent  her: 

— -— -,.19—. 

With  the  approval  of  the  Secretary  of  War,  and  by  order  of  the  Surgeon  General 

dated  ,  19 — ,  the  reserve  nurse  within  named  is  relieved  from  active  service 

in  the  Militarv  Establishment,  to  take  effect ,  19 — . 


United  States  Army. 

(c)  When  a  reserve  nurse  is  assigned  to  active  service  the  Surgeon 
General  will  by  letter  promptly  advise  the  proper  officer  of  the  Red 
Cross  Society  to  that  effect.  When  she  is  relieved  from  active  service 
he  will  communicate  that  fact  likewise  by  letter,  stating  the  cause  of 
her  relief  and  whether  her  services  have  been  satisfactory. 


48  MANUAL  FOR   MEDICAL  DEPAKTMEXT,   U.    S.    ARMY. 

CIVILIAN  EMPLOYEES. 

(For  Hospital  MatroBS,  see  par.  265.) 

103.  The  employment  of  male  nurses,  of  female  nurses  not  m  the 
Nurse  Corps,  of  cooks,  and  of  other  civilians  necessary  for  the  proper 
care  of  sick  officers  and  soldiers,  is  authorized  in  the  annual  appro- 
priations for  the  "Medical  and  Hospital  Department,"  under  such 
regulations  fixmg  their  numher,  qualifications,  assignment,  pay,  and 
aUowances  as  may  be  prescribed  by  the  Secretary  of  War.  The  pay 
of  civilian  employees,  such  as  clerks,  messengers,  watchmen,  packers, 
laborers,  etc.,  in  the  adm-inistrative  offices  and  supply  depots  of  the 
Medical  Department  is  provided  for  in  the  same  appropriations. 

HOSPITAL    EMPLOYEES. 

104.  The  number  and  assignment  of  contract  nurses,  cooks,  and 
other  civilians  employed  at  military  hospitals  for  the  proper  care  of 
the  sick  therem  will  be  determined  by  the  Surgeon  General  or,  under 
his  mstructions,  in  the  Philippine  Department  by  the  department 
surgeon. 

(a)  Then-  qualifications  for  their  respective  employments  wiU  be 
ascertamed  by  practical  tests  established  from  time  to  time  by  the 
Surgeon  General. 

105.  Hospital  employees  whose  pay  does  not  exceed  S60  a  month 
may,  under  authority  obtamed  from  the  Surgeon  General,  be  selected 
by  the  medical  officer  in  charge  of  the  hospital ;  and  they  may  be 
reduced  or  discharged  by  such  officer  as  the  interests  of  the  service 
require.     (See  par.  318c.) 

(a)  When  the  circumstances  of  the  employment  make  it  necessary 
a  ration  may  be  allowed  in  addition  to  pay  proper  of  S60  a  month  or 
less  in  conformity  with  iVi-my  Regulations. 

106.  Hospital  employees  whose  pay  exceeds  $60  a  month  will  be 
appointed  by  the  Surgeon  General,  and  will  be  rationed  only  under 
special  authority  from  the  Secretary  of  War.  They  may  be  reduced 
or  discharged  at  the  discretion  of  the  Surgeon  General  as  the  interests 
of  the  service  require.     (See  par.  318c.) 

107.'  Such  quarters  as  may  be  available  will  be  furnished  for  the 
use  of  those  employees  whose  constant  presence  at  the  hospital  is 
necessary  or  appropriate. 

DI.POT    AND    OFFICE    EMPLOYEES. 

.108.  Civilians  employed  in  the  supply  depots  and  administrative 
ofliccs  of  the  Medical  Department  are  of  two  classes:  (1)  Those  .whoso 
duties  are  unskilled  manual  labor  only ;  and  (2)  those  of  higher  grade. 
The  former  are  sul)ject  to  Labor  Regualtions  promulgated  by  the. 
President.  The  latter  are  classified  employees,  subject  to  civil-sei-vice 
rules. 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY.  49 

109.  The  Labor  Regulations  govern  tlie  employment  of  unskilled 
laborers  in  Federal  offices  in  nearly  all  of  the  large  cities  of  the  United 
Slates.  Where  they  are  in  force  they  must  be  strictly  observed, 
whether  the  laborers  are  required  for  temporary  or  permanent  work. 
To  secure  the  services  of  laborers  under  the  Labor  Regulations  appli- 
cation for  the  certification  of  eligibles  should  be  made  to  the  local 
board  of  labor  employment. 

110.  The  number  and  compensation  of  unskilled  laborers  and 
workmen  in  the  depots  and  offices  of  the  Medical  Department  are 
determined  by  the  Surgeon  General  under  the  du-ection  of  the  Sec- 
retary of  War. 

(a)  No  such  workman  or  laborer  will  be  permanently  emi>loyed  by 
the  month  without  authority  from  the  Surgeon  General,  nor  at  more 
than  $60  a  month  without  the  special  authority  of  the  Secretary  of 
War.  They  may  be  reduced  or  discharged  at  the  discretion  of  the 
Surgeon  General  as  the  interests  of  the  service  require. 

(b)  In  emergencies  requiring  prompt  action,  when  the  services  of 
enlisted  men  are  not  to  be  had,  laborers  may  be  temporarily  employed 
(under  Labor  Regulations,  if  applicable)  without  previous  authority, 
at  not  more  than  25  cents  an  hour. 

ic)  The  employment  of  unskilled  laborers  or  workmen  in  the  Phil- 
ippine Department  will  be  supervised  by  the  department  surgeon 
ujider  instructions  from  the  Surgeon  General. 

111.  Wlien  tne  position  of  an  unskilled  laborer  or  workman  em- 
ployed at  $oO  a  month  or  less  by  authorit}^  of  the  Surgeon  General 
becomes  vacant  the  vacancy  may  be  filled  if  necessary  (under  Labor 
Regulatious,  when  applicable),  without  new  authority,  report  of  the 
changes  to  be  made  promptly  to  the  Surgeon  General. 

112.  Persons  employed  as  unskilled  laborers  or  worlanen  will  not 
be  assigned  to  work  of  the  grade  performed  b}"  classified  employees. 

113.  Civilian  employees  in  the  depots  and  administrative  offices  of 
the  Medical  Department  above  the  grade  of  unskilled  laborer  or 
workman  are  appointed  by  the  Secretary  of  War,  upon  the  recom- 
m-endation  of  the  Surgeon  Genera^l,  from  lists  of  eligibles  furnished  by 
the  United  States  Civil  Service  Commission,  or  by  reinstatements  or 
transfers  by  the  Secretary  of  War  under  civil-service  rules.  (But 
see  par.  114.)  Their  number  and  compensation  are  fixed  by  the  Sec- 
retary, and  their  promotion,  reduction,  and  removal  are  determined 
by  him,  upon  the  Surgeon  General's  recommendation.  Their  assign- 
ments to  and  transfers  between  stations,  at  home  or  abroad,  are  regu- 
lated b;/  the  Surgeon  General,  under  the  Secretary's  directions.  (See 
par.  117.) 

114.  In  case  of  a  vacancy  among  them  by  death  or  otherwise,  the 
officer  under  v/hom  it  occurs  will  promptly  advise  the  Surgeon  General 

70156°— IS 4 


50  MANUAL   FOR   MEDICAL    DEPARTMENT,    U.    S.    ARMY. 

Wiiether  it  is  necessar}'  to  fill  the  same,  and  if  so  will  make  such 
recommendation  for  promotion  or  original  appointment  as  may  be 
appropriate.  Temporary  appointments  without  examination  and 
certification  by  the  Civil  Service  Commission,  pendmg  permanent 
appointment,  promotion,  or  transfer,  are  not  made  by  the  Secretarj^ 
to  any  classified  position  except  when  the  public  emergency  so 
requires,  and  then  only  upon  the  prior  authorization  of  the  com- 
mission. Appointments  so  authorized  continue  only  for  such  period 
as  may  be  necessary  to  make  appointment  through  certification  of 
eligibles  or  by  promotion  or  transfer;  and  in  no  case  without  prior 
approval  of  the  commission  do  they  extend  beyond  30  days  from  the 
Secretary's  receipt  of  the  certification,  or  (if  the  vacancj^  is  to  be 
filled  by  promotion  or  transfer)  beyond  30  days  from  the  date  of  the 
temporary  appointm-ent. 

(a)  When  a  classified  position  in  the  Philippine  Islands  becomes 
vacant  it  may  be  filled  in  the  regular  way,  or  if  specially  authorized 
by  the  Secretary  of  War,  by  appointment  from  the  ehgible  fists  of 
the  Phifippine  civil-service  board. 

115.  Recommendations  for  the  promotion  of  a  classified  employee 
should  originate  with  the  officer  or  officere  under  whose  supen'ision 
and  control  the  employee  is  serving.  No  recommendation  originating 
otherwise  will  be  considered.  If  the  employee  procm^es  such  recom- 
mendations to  be  made  by  any  other  person,  his  so  doing  will  be 
cause  for  debarring  him  from  the  promotion  proposed.  A  repetition 
of  the  offense  will  be  sufficient  cause  for  discharge. 

.116.  Classified  employees  will  be  promoted,  reduced,  or  discharged 
only  by  the  Secretar}"  of  War;  but  the  officer  under  whom  they  are 
serving  may  suspend  them  from  duty  and  pay  for  cause.  He  will 
inform  the  suspended  employee  of  the  reasons  for  his  suspension,  and 
give  him  three  days  in  which  to  answer  the  same  in  writing.  Should 
the  answer  be  satisfactory,  he  may  at  once  without  further  action 
restore  the  employee  to  duty  and  pay.  Should  no  repl}^  have  been 
received  at  the  end  of  the  three  days,  or  should  it  be  unsatisfactory, 
he  wiU  report  his  action,  his  reasons  therefor,  and  his  recommenda- 
tions in  the  premises  (together  with  the  written  answer  received  by 
him,  if  any)  to  the  Surgeon  General,  for  the  information  and  action 
of  the  Secretary. 

117.  Clerks  transferred  to  the  Philippines  will  be  allowed  an 
increase  of  $200  in  annual  compensation,  to  take  efl'ect  on  the  date 
of  leaving  station  in  the  United  States.  Clerks  transferred  from  the 
Philippines  wiU  be  reduced  approximately  20  per  cent  in  compensa- 
tion, provided  such  reduction  does  not  lower  their  pay  below  the  rate 
they  were  recei^'ing  for  their  former  service  in  the  United  States 
(unless  their  efficiency  record  calls  for  a  lower  compensation).  Such 
reductions  will  take  effect  on  the  date  of  arrival  at  the  new  station. 


MAlSrUAL   FOR   MEDICAL  DEPARTMENT^   V.    S.    AEMY.  51 

Clerks  so  transferred  forth  and  back  will  receive  the  regulation  allow- 
ances of  transportation  and  expenses  en  route  between  stations.  No 
classified  employee  will  be  transferred  from  the  United  States  to  the 
Philippines,  or  \  ice  versa,  except  upon  authority  of  the  Secretary  of 
War  previously  obtained. 

REPORTS    OF    CHANGES    OF    STATUS. 

118.  Every  appointment,  promotion,  reduction,  or  discharge  of 
a  civilian  employee,  temporar}"  or  permanent,  made  by  an  officer  of 
the  Medical  Department,  will  be  reported  promptly  to  the  Surgeon 
General,  with  the  name  of  the  person  conceiTied,  the  date  of  the 
change,  and  citation  of  the  authority  therefor.  In  case  of  death  the 
date  and  place  of  death  will  be  given;  in  case  of  death  or  discharge 
the  date  to  which  the  employee  was  last  paid,  and  by  what  officer. 
A  record  will  be  kept  in  each  office  of  the  name  and  address  of  the 
employee's  nearest  relative,  who  v/ill  be  at  once  notified  of  the 
employee's  death.     (See  Appendix :  Civilian  Em floyees.) 

119.  When  a  clerk  is  transferred  from  one  office  to  another  the 
officers  concerned  will  report  to  tlie  Surgeon  General  the  date  of  his 
departure  from  the  old  station  and  the  date  of  his  arrival  at  the 
new.  The  officer  at  the  old  station  will  by  letter  inform  the  officer 
at  the  nev\'  station  of  the  date  to  which  the  clerk  \\'as  last  paid. 

EFFICIENCY    REPORTS    OF    CLASSIFIED    EMPLOYEES. 

120.  Every  officer  under  v*^hom  classified  employees  of  the  Medical 
Department  are  serving  wiU  prepare  and  forward  to  the  Surgeon 
General  on  June  30  and  December  31  of  each  year  a  report  of  their 
efficienc}^  during  the  preceding  six  months. 

121.  In  determining  the  efficiency  of  each  such  employee  the 
factors  of  attendance,  abilit}-,  adaptabifity,  habits,  and  application 
will  be  considered,  and  each  marked  separately  on  a  scale  of  100. 
Ability  will  be  given  four  times  the  weight,  adaptabifity  twice  the 
weight,  and  habits  twice  the  weight  of  either  of  the  other  factors, 
which  will  each  be  given  a  weight  of  one.  The  final  efficiency'  figure 
v.dll  be  obtained  by  dividing  by  10  the  aggregate  of  the  markings 
under  the  several  heads,  and  will  represent,  so  far  as  practicable,  the 
record  of  each  employee  as  made  from  day  to  day  during  the  six 
months.  In  connection  with  ability,  the  character,  quality,  and  quan- 
tity of  work  wiU  be  marked  as  indicated  on  the  form.  (Form  20, 
W.'  D.) 

(a)  The  names  in  each  class  or  grade  will  be  entered  in  the  order  of 
merit,  those  with  the  same  efficiency  figure  being  arranged  according 
to  length  of  service  in  the  Medical  Department. 

122.  The  following  rides  wdl  be  obsen'ed  in  keeping  efficiency 
records  and  preparing  semiannual  reports  thereof. 


52  MANUAL   FOR    MEDICAL    DEPAETMEI^'TT;    U.    S,    ARMY. 

Attendance. — A  record  vdil  be  kept  in  each  office  upon  vrhich  will 
be  noted  daily  the  duration  of  all  absences  from  official  duty  on  the 
part  of  persons  whose  names  are  to  appe^ir  on  the  semiannual  effi- 
ciency report.  From  the  time  record  thus  kept  the  figure  of  attend- 
ance to  be  used  in  the  preparation  of  that  report  wiU  be  obtained. 

A  deduction  of  two  points  will  be  made  for  every  tlu'ee  days' 
absence  on  leave  without  pay  or  on  account  of  personal  sickness 
Vvhich  is  accoimted  for  and  approved  in  accordance  Vvith  the  leave 
regulations:  Provided,  That  absence  on  account  of  sickness  may  be 
disregarded  in  cases  of  special  merit  or  v>-here  it  v\-oald  be  manifestly 
unjust  to  include  such  absence  in  the  calculation  of  the  efficiency 
figures. 

Deduction  for  absence  without  leave  will  be  made  at  the  rate  of 
five  points  for  each  day,  and  further  deduction  wiE  be  made  in  the 
figure  representing  habits  if  required  by  the  natiu-e  and  degree  of 
the  ofi'ense.  Tardiness  will  be  considered  in  connection  with  habits, 
and  if  of  frec[uent  occurrence  will  be  made  the  subject  of  special 
action  as  prescribed  under  that  head. 

Ability. — ^Wherever  practicable  a  record  will  be  kept  of  the  amount 
and  character  of  work  performed  each  day  by  pei-sons  whose  effi- 
ciency is  required  to  be  reported.  The  record  of  work  for  each  six 
months  will  serve  as  a  basis  for  determining  the  relative  abihty  of 
the  persons  engaged  thereon,  proper  deduction  being  made  for  all 
errors  or  deficiencies  that  may  have  been  reported.  The  abihty  figure 
of  those  employed  upon  work  that  can  not  be  tabulated  or  stated 
numerically  will  be  determined  by  the  chief  of  ofiice  upon  his  o^\ti 
observation  and  knowledge. 

Wliile  the  amount  of  vrork  creditably  performed  is  valuable  as  a 
guide  in  estimxating  ability,  too  m.uch  im.portance  should  not  attach 
to  this  factor  except  as  between  persons  em.ployed  in  substantially 
the  same  way.  Character  and  quality  of  work  must  be  regarded  as 
much  more  important  than  c|U£intity,  and,  as  tliese  elements  can  not 
be  ascertained  by  any  automatic  process  or  be  stated  numerically 
from  day  to  day,  the  opinions  of  officers  and  supervising  clerks,  who 
by  constant  association  and  observation  acquu-e  intimate  knowledge 
of  the  personnel  of  their  own  office,  must  be  relied  upon  to  a  great 
extent  to  determine  the  relative  merits  of  the  individuals  employed 
under  their  direction. 

When  clerks  of  a  particular  class  perform  satisfactorily  v»'ork  of  a 
grade  usually  assigned  to  a  higher  class  great  credit  should  be  given 
therefor.  If  for  lack  of  abihty  clerks  are  employed  upon  work 
usually  assigned  to  a  lower  class,  the  marking  should  be  correspond- 
ingly lov/,  althoTigh  the  Vv'ork  itself  may  bo  exceedingly  good. 

AdaptaUlity.—VndQV  the  head  of  "Adaptability''  there  should  be 
considered  intelligence,  aptitude,  fitness  for  the  general  duties  of  an 


MANUAL    FOE    MEDICAL    DEPARTMENT^,    U.    S.    AEMY.  53 

office,  and  demonstrated  capacity  for  the  performance  of  a  liigher 
class  of  work.  As  in  respect  of  ability,  these  elements  will  be  weighed 
and  the  figure  of  adaptability  determined  therefrom  by  the  chief  of 
office,  assisted  by  recommendations  of  ofucers  and  others  in  super- 
vising positions. 

Habits. — In  estimating  habits  consideration  should  be  given  to 
sobriety,  integrity,  subordination,  cheerful  and  zealous  obedience  to 
orders  and  regidations,  and  promptness  and  courtesy  in  all  the  rela- 
tions of  official  business.  The  rating  will  be  m.ade  in  the  manner 
prescribed  for  ability.  Insubordinatioti,  disregard  of  regulations,  fre- 
quent tardiness,  drunkenness  on  duty,  or  any  conduct  prejudicial  to 
the  good  order  and  discipline  of  an  office  should  be  made  the  subject 
of  special  inquiry  and  action  as  directed  in  regard  to  absence  without 
leave. 

Api>lication. — Under  the  head  of  ''Application"  should  be  repre- 
sented the  degree  of  diligence  and  faithfulness  which  has  been  shown 
in  respect  of  attention  to  duty,  the  rating  to  be  m.ade  in  the  manner 
prescribed  for  ability. 

123.  The  follo^ving  special  rules  respecting  the  ability  and  adapt- 
ability marks  of  clerks  will  also  be  complied  with: 

{a)  Rate  no  clerk  higher  than  95  in  either  ability  or  adaptability. 

(&)  Rate  no  tv/o  clerks  at  the  same  ability  figure  unless  they  are 
clearly  of  equal  ability,  and  in  no  case  rate  three  or  m.ore  in  the  sam.e 
grade  in  the  same  office  at  the  same  ability  figure,  unless  they  are 
employed  on  tabulated  work  which  determines  the  figure. 

(c)  Rate  no  one  at  a  higher  figure  in  adaptability  than  in  ability. 

id)  Wlienever  two  are  rated  at  tlie  same  figure  in  ability,  distin- 
guish between  them  by  rating  one  at  least  one-half  (five-tenths)  of  a 
point  less  in  adaptability  than  the  other.  If  no  other  ground  for  this 
difference  is  apparent,  let  it  be  based  on  the  length  of  service  in  the 
present  grade,  the  one  having  the  shorter  term  of  such  service  getting 
the  lesser  adaptability. 

{e)  Assign  no  clerk  a  higher  figure  in  either  factor  than  is  warranted 
by  his  actual  efficiency,  as  compared  Vvith  that  of  tlie  other  clerks  of 
the  same  grade  in  the  office  during  the  period  of  the  list  and  at  the 
end  thereof,  regardless  of  any  higher  figure  that  may  have  been 
assigned  to  him  on  any  previous  lists. 

124.  Each  semiannual  efficiency  list  should  show  the  relative  stand- 
mg  actually  ea,rne(l  by  each  employee  of  the  office  as  compared  with 
fellow  emplo}' ees  during  the  half  year  covered  by  it,  regardless  of  his 
standing  on  any  prior  list.  It  does  not  follow  because  an  em.plo3''ee's 
absolute  efficiency  remains  unchanged  that  he  should  retain  the  effi- 
ciency ratings  previously  given  him;  other  emploj^ees  in  the  mean- 
time may  have  shown  such  increase  in  efficiency  that  they  are  justly 
entitled  to  precede  him  in  relative  standing.     The  efficiency  fi-gure  of 


54  MANUAL    FOR    MEDICAL   DEPARTMENT,    L^.    S.    ARMY. 

any  employee,  as  well  as  tlie  figures  representing  the  factors  composing 
it,  being  thus  relative  only,  must  necessarily  change  from  time  to  time, 
even  in  the  case  of  an  employee  whose  actual  efficiency  remains 
unchanged.  Each  efficiency  Hst  displaces  and  supersedes  the  prior 
list,  and  should  represent  the  relative  values  of  all  the  employees 
thereon  for  the  period  covered  by  the  list  and  at  the  end  of  that 
period,  regardless  of  what  theii'  relative  values  were  on  previous  lists. 
Officers  will  bear  these  considerations  in  mind  in  preparmg  the  effi- 
ciency lists  in  question. 

125.  All  promotions  in  the  jslassified  service  will  be  made  in  the 
order  of  merit  as  established  by  the  last  semiannual  efficiency  report, 
subject  to  such  examination  as  may  hereafter  be  oi'dered  under  civil- 
service  rules :  Provided,  That  any  person  entitled  to  promotion  under 
the  terms  of  this  regulation  who  shall  become  markedly  mefficient,  or 
be  guilty  of  any  serious  misconduct  after  the  preparation  of  the  last 
semiannual  efficiency  report,  shall  forfeit  the  right  to  promotion,  and 
the  same  shall  accrue  to  the  next  eligible  person  on  the  list. 

128.  Those  who  fail  during  any  six  months  to  attahi  an  efficiency 
ratmg  of  70  will  be  regarded  as  deficient  in  their  respective  classes 
and  subject  to  regradiug,  and  will,  in  the  discretion  of  the  officer 
under  whom  they  are  serving,  be  reported  to  the  Surgeon  General 
for  reduction.  All  who,  on  two  consecutive  reports,  fah  below  70  in 
efficiency  will  be  invariabl}'^  reported  for  reduction. 

AU  who,  on  two  consecutive  reports  fall  below  60  in  efficiency  or 
below  50  m  either  application,  habits,  or  ability,  will  be  reported  for 
discharge. 

In  the  case  of  those  entitled  to  preference  under  section  1754, 
Revised  Statutes,  the  figures  65,  55,  and  45  are  substituted  for  70, 
60,  and  50,  respectively.,  in  the  two  precedmg  paragraphs. 

127.  The  semiannual  efficiency  reports  in  each  office  will,  if  prac- 
ticable, be  placed  where  access  to  them  can  be  had  by  all  concerned; 
but  where,  by  reason  of  the  large  number  or  widely  separated  loca- 
tions of  those  interested,  material  interference  with  current  work 
and  loss  of  time  would  be  occasioned  b}^  allowing  each  individual 
access  to  the  reports,  a  transcript  from  the  semiannual  report  will  be 
forwarded  to  each  person  whose  name  is  borne  thereon  as  soon  as 
practicable  after  the  completion  of  the  report.  This  transcript  will 
show  the  efficiency  rating  and  lineal  number,  or  relative  standing, 
of  the  person  to  whom  it  is  furnished. 

128.  A  copy  of  each  semiannual  efficiency  report  will  be  forwarded 
by  the  Surgeon  Genei-al  to  the  Secretary  of  War  as  soon  as  practi- 
cable after  the  expiration  of  each  six  months. 


MANUAL  FOR   MEDICAL  DEPAETMENT^   U.    S.   ARMY.  55 


LEAVES    OF    ABSENCE. 


129.  Regulations  governing  leaves  of  absence  of  civilian  emploj^ees 
are  published  in  special  circulars  by  the  War  Department.  (See 
Appendix:  Civilian  Employees.) 


REPORTS    OF    EMPLOYEES    INJURED. 


130.  Regulations  governing  the  operation  of  the  Government 
"Compensation  Act"  for  employees  injured  m  the  service  of  the 
United  States,  are  published  m  special  chculars  by  the  War  Depart- 
ment. The  Surgeon  General  will  on  application  furnish  appropriate 
forms  for  the  necessary  reports.     (See  Appendix:  Civilian  Employees.) 


ARTICLE  n,— EDI  CATION  AND  TRAINING. 


131.  The  educational  duties  of  the  Medical  Department  are  of  a 
twofold  nature — to  the  pubhc,  and  to  the  military  services,  regular, 
ToUmtoer,  and  militia.  The  connection  with  public  education  is 
maintained  through  the  Library  of  the  Surgeon  General's  Office  and 
the  Army  Medical  Museum.  The  professional  training  of  the  mihtary 
services  is  carried  out  chiefly  by  the  regular  courses  of  instruction 
given  medical  officers  at  the  Army  Medical  School  in  Washington, 
D.  C,  and  at  the  Army  Service  Schools,  Fort  Leavenworth,  by  the 
courses  given  the  Hospital  Corps  in  field  hospitals,  ambulance  com- 
panies, and  detaclmients,  and  by  the  teaching  of  hygiene  and  first 
aid  to  other  branches  of  the  Army. 

LIBRARY,    SURGEON   GENERAL'S   OFFICE. 

132.  This  has  been  characterized  as  "the  great,  central,  medical 
library  of  reference  of  the  Nation"  (6  Comp.  Dec,  740).  Under  the 
provisions  of  the  act  of  March  3,  1901  (31  Stats.,  1039),  facihties  for 
study  and  research  therein  are  afforded  to  scientific  investigators, 
students,  and  graduates  of  institutions  of  learning  in  the  several 
States  and  Territories  as  well  as  in  the  District  of  Columbia;  and  its 
material,  under  suitable  rules  and  regulations,  is  available  for  loan  to 
such  persons,  and  to  schools,  societies,  and  public  libraries  in  every 
State  of  the  Union.  It  consists  now  of  over  half  a  million  books 
and  pamphlets,  all  of  which  are  catalogued  and  arranged  for  ready 
use.  Every  year  a  volume  of  the  Index  Catalogue  is  prepared, 
v.hich,  as  it  deals  with  both  subjects  and  authors,  is  itseK  a  compre- 
hensive book  of  reference.  The  Index  Medicus,  published  monthly 
by  tlie  Carnegie  Institute,  is  based  on  the  new  additions  to  the 
library  and  gives  a  monthly  bibliograpliy  of  medicine  and  the  allied 
sciences. 

133.  Books  that  can  be  readily  replaced  will  be  loaned  to  medical 
officers  of  the  Army,  w^ho  will  be  held  responsi])le  for  the  safe  return 
of  the  volumes  within  two  weeks  from  the  day  of  their  receipt.  In 
special  cases  this  time  may  be  extended. 

ARMY  MEDICAL  MUSEUM. 

134.  The  museum,  like  the  library,  affords  facilities  for  study  and 
research  to  scienlilic  investigators,  students,  and  others  under  the  act 
of  March  3,  1901.     Its  general  purpose  is  the  collection,  preservation, 

56 


MANUAL   FOR   MEDICAL   DErAETMENT,   U.    S.    ARMY.  57 

and  exhibition  of:  (I)  Material  illustrative  of  military  medicine  and 
surgery,  and  the  diseases  of  armies;  (2)  material  and  appliances 
relating  to  the  hygiene  of  troops  and  to  public  sanitation;  (3)  material 
illustrative  of  the  advance  of  medical  and  surgical  knowledge  and 
its  allied  sciences,  such  as  chemistry,  microscopy,  photomicrography, 
anthropology,  and  anthropometry;  (4)  material  of  interest  and  value 
to  the  history  and  archaeology  of  the  Medical  Department  of  the 
Army.  The  collection  includes  pathological  specimens  of  all  kinds 
which  have  an}'  scientific  interest  for  the  military  surgeon,  the 
pathologist  or  the  medical  student,  particularly  such  specimens  as 
show  the  effects  of  gunshot  or  other  injuries  inflicted  by  the  various 
missiles  and  weapons  used  in  war,  and  such  as  exhibit  diseased  condi- 
tions of  the  various  organs  and  viscera  of  the  huniiin  body  incident  to 
service  in  the  field  and  in  the  Tropics.  It  includes  also  models  of  the 
anatomical  structure  of  the  human  body;  of  the  various  surgical 
instruments  in  use  in  this  country  from  the  tim^e  of  the  Revolutionary 
War;  of  tlie  microscope  from  its  crude  primitive  form  to  the  most 
improved  present-day  instrument;  of  dental  instruments  and  speci- 
mens; of  litters,  ambulances,  dressings,  and  materials  used  on  the 
field  of  battle  by  the  various  armies  of  the  world ;  of  hospitals,  illus- 
trating their  construction  and  arrangement ;  and  of  many  other  appli- 
ances and  apparatus  not  here  enumerated.  These  exhibits  are  not 
available  for  issue  or  loan,  except  on  great  public  occasions  and  under 
the  safeguard  of  extraordinary  guaranties;  but  thcj  may  always  be 
seen  in  their  place  in  the  museum  building  in  the  city  of  Washington. 

135.  Medical  officers  and  others  interested  in  the  progress  of  med- 
ical science  are  invited  to  make  contributions  to  the  Army  Medical 
Museum.  Medical  officers  who  have  the  opportunity  are  expected 
to  collect  and  send  interesting  medical  and  surgical  specimens,  espe- 
cially those  that  illustrate  tropical  diseases  and  those  that  show  the 
effects  of  modern  firearms  and  of  the  more  primitive  weapons  that 
are  still  employed  in  w-arfare.  Specimens  of  arms,  medicines,  medical 
instruments  and  appliances,  when  any  of  these  differ  from  those  used 
by  the  white  race  in  the  United  States,  will  be  acceptable.  Speci- 
mens of  poisonous  insects  and  reptiles  are  also  desired. 

(a)  Soft  tissues,  intended  for  gross  specimens,  should  be  placed  in 
a  solution  of  one  part  formalin  and  four  parts  vv\ater,  the  specimen 
being  completely  covered  by  the  solution.  The  fluid  on  very  soft 
tissue,  or  large  masses  of  tissue,  such  as  the  liver,  spleen,  etc.,  should 
be  renewed  after  the  first  two  or  three  daj^s.  When  formalin  is  not 
obtainable,  commercial  alcohol  may  bo  used.  Bones  and  joints,  after 
having  been  roughly  cleaned,  may  be  simply  wrapped  in  a  cloth  wet 
with  the  preservative  solution  and  then  again  vv^rapped  in  oiled  paper 
or  silk. 


5S  MAXUAL   FOR    ZMEDICAL  DEPAETMEXT^   U.    S.   ARMY« 

(b)  Soft  tissues  intended  for  microscopical  examination  should  be 
cut  into  small  pieces  and  placed  in  a  solution  of  1  part  foi-malin  and 
9  parts  water,  or  in  alcohol. 

(c)  Since  glass  and  earthenware  vessels  are  liable  to  be  broken  in 
transit,  the  use  of  tin  v  essels  for  large  wet  specimens  is  recommended , 
the  covers  to  be  tigiitl}'  soldered  on.  Whatever  vessel  is  used  should 
be  packed  in  sawdust,  excelsior  packing,  stiff  paper,  or  equivalent 
substitute,  in  a  wooden  box. 

(d)  A  tag  should  be  firmly  affixed  to  every  specimen.  It  should 
have  a  number  or  letter  and  give  the  name  of  the  donor,  the  date 
and  place  of  collection,  and,  if  practicable,  a  brief  description  of  the 
specimen  itself.  In  the  case  of  wet  specimens  put  up  in  alcohol,  these 
diita  should  be  written  in  pencil  (which  is  not  aft'ected  by  alcohol) 
upon  a  shp  of  wood.  When  form'alin  is  used,  the  data  should  be 
written  on  a  slip  of  })aper  and  inclosed  in  a  vial,  wliich  should  be 
attached  to  the  specimen.  A  letter  of  advice  reporting  the  mark  on 
the  specimen,  briefly  describing  it  and  giving  its  history,  should  be 
sent  direct  to  the  curator  of  the  Army  Medical  Museum.  The  more 
complete  the  history  the  more  acceptable  the  specimen  will  be. 

(e)  Although  Army  Regulations  authorize  the  transportation  of  all 
such  contributions  b}^  the  Quartermaster  Coi'ps,  neverthelesss  if  the 
importance  of  the  specimen  or  its  security  demands  a  more  prompt 
deliveiy,  the  package  may  be  sent  direct  by  express  on  a  Oovemment 
bill  of  lading  (forms  for  which  will  be  furnished  by  the  curator)  to 
the  curator  of  the  museum,  who  will  arrange  for  tlie  payment  of  the 
transportation  charges.  Small  dry  specimens  may  be  sent  by  mail, 
and  small  wet  specimens  also,  if  inclosed  in  the  containers  which  have 
been  appro V(^d  by  the  Post  Office  Department. 

(/)  The  receipt  of  every  package  will  be  duly  acknowledged  and 
the  specimen  credited  to  the  contributor. 

ARMY  MEDICAL   SCHOOL. 

136.  Tlie  school  w\\]  be  known  as  the  Army  ^tedical  School  and 
will  be  located  in  Washington,  D.  C  Its  personnel  will  consist  of 
the  faculty,  such  special  professors  and  instructors  as  may  be  as- 
signed to  temporary-  duty  at  the  school,  the  students,  and  such 
enlisted  men  and  civilian  employees  as  may  be  assigned  to  it  for  duty. 
Its  object  is  to  train  the  students  therein  in  the  su/bjocts  that  pertain 
to  the  duties  of  the  Medical  Department.  It  will  also  carry  on  such 
scientific  work  and  investigations  as  may  be  directed  or  authorized 
by  proper  authority. 

137.  The  commandant,  professors,  and  assistant  professore  are 
dotaih^d  ]\y  the  War  Department  from  among  the  officers  of  the 
^fcdical  Corps;  the  special  professors  are  nominated  by  the  faculty, 
witli  tlie  a])J)l■()^'a]  of  the  Surgeon  General,  from  among  distinguished 


MANUAL  FOR   MEDIiCAL   DEPARTMENT,   V.    S.    ARMY.  59 

members  of  the  Medical  Reserve  Corps:  the  instructors  are  officers 
of  other  branches  of  the  xirmy  detailed  by  the  War  Department  to 
give  special  courses  of  insti'uction. 

THE    FACULTY. 

138.  The  faculty  ^Yill  consist  of  the  commandant,  who  shall  be  its 
president,  the  professors,  and  assistant  professors.  It  will  meet  at 
sucii  times  as  the  commandant  shall  deem  advisable.  It  will  arrange 
the  program  of  instruction,  prescribe  the  textbooks  appropriate 
thereto,  the  allotment  of  time  to  each  subject,  and  the  character  and 
scope  of  the  examinations  and  will  have  final  determination  of  all 
questions  concerning  the  proficiency  of  studeniis,  subject,  however,  in 
all  respects  to  the  express  provisions  of  law,  of  the  Manual  for  the 
Medical  Department  and  other  orders  and  regulations  issued  by 
authority  of  the  Secretary  of  War.  The  adjutant  will  be  the  secretary 
of  the  faculty. 

ADMINISTRATION . 

139.  Tlie  general  administration  of  the  school  is  intrusted  to  the 
commandant.  In  case  of  the  absence  of  the  commandant,  the  senior 
professor  present  will  be  the  acting  commandant.  The  commandant 
will  report  annually  on  or  before  July  1,  the  progress  of  the  school 
and  its  needs,  including  an  account  of  the  instruction  given  and  the 
proficiency  of  the  several  students. 

140.  The  adjutant  will  be  chosen  b}'-  the  commandant  from  among 
the  professors  or  assistant  professors.  He  will  be  the  custodian  of 
the  records  of  the  faculty,  v/iil  conduct  the  coiTespondcnce  of  tho 
school,  and  will  promulgate  the  orders  of  the  commandant. 

141.  The  property  officer  will  be  chosen  by  the  commandant  from 
among  the  professors  or  assistant  professors.  He  will  be  accountable 
for  all  the  property  of  the  school,  and  may,  under  the  direction  of  the 
commandant,  make  authorized  purchases  for  the  school  and  certify 
accounts  therefor  for  settlement. 

THE    STUDENTS. 

142.  The  student  body  will  consist  of  officers  of  the  Medical  Re- 
serve Corps  who  are  candidates  for  appointment  in  the  Medical  Corps 
(par.  8),  such  medical  officers  of  the  Army  and  of  the  Organized 
Militia  as  may  be  ordered  or  authorized  to  attend  the  school,  and 
enlisted  men  of  the  Hospital  Corps  ordered  to  the  school  for  in- 
struction. 

143.  Candidates  for  appointment  in  the  Medical  ( 'orps. — All  candi- 
dates for  appointment  in  the  Medical  Corps  of  the  Army  vv-ho  pass  the 
prelimmary  examination  will  be  required  to  attend  the  school,  in 
conformity  with  paragraph  8. 


60  MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

(a)  The  school  term  will  commence  on  October  1  of  each  year  and 
will  continue  for  a  period  of  eight  months. 

(b)  The  course  of  instruction  will  be  both  theoretical  and  practical 
and  will  comprise  the  following  subjects: 

First  i^eriod  {Get.  1  to  Jan.  31 ) . 

(1)  Bacteriology,  pathology,  and  laboratory  diagnosis. 

(2)  Medical  Department  administration. 

(3)  Military  hygiene. 

(4)  Military  surgery. 

(5)  Military  medicine  and  tropical  medicine. 

(6)  Sanitary  chemistry. 

(7)  Sanitary  tactics  (including  map  reading  and  sanitary-service 
problems). 

(8)  Ophthalmology, 

(9)  Roentgenology. 

(10)  Equitation.  "' 

Second  period  {Feh.  1  to  May  31). 

(1)  Bacteriology,  pathology,  and  laboratory  diagnosis. 

(2)  Medical  Department  administration. 

(3)  Military  hygiene. 

(4)  Military  surge^3^ 

(5)  Military  medicine  and  tropical  medicine. 

(6)  Sanitary  chemistry. 

(7)  Sanitary  tactics  (including  map  reading  and  sanitary-service 
problems). 

(8)  Ophthalmology. 

(9)  Operative  surgery  on  the  cadaver. 

(10)  Roentgenology. 

(11)  Psychiatry. 

(12)  Military  law. 

(13)  Equitation. 

(14)  Lectures  by  special  professors. 

(c)  Examinations  will  be  held  at  the  end  of  each  period  and  at  such 
times  throughout  the  course  as  individual  professors  may  deem  advis- 
able. 

A  candidate  who  is  unable  to  take  the  final  examination  with  his 
class,  owing  to  sickness  or  other  unavoidable  cause,  will  be  examined 
as  soon  as  practical>le  thereaiter.  For  this  examination  the  topics 
and  questions  will  be  similar  to,  but  not  identical  vdth,  those  given 
in  the  general  examination. 

(d)  Ratings  for  graduation  are  made  by  the  faculty  upon  the  pro- 
ficiency shown  in  the  course  pursued  during  the  school  term  and  at  the 
mid-term  and  the  final  examinations,  and  upon  deportment. 


MANUAL  FOR  MEDICAL  DEPAE-TMEKT^   U.    S.   ARMY.  61 

Candidates  who  obtain  a  general  average  of  80  per  cent  in  the  total 
rating  and  who  do  not  fall  below  70  per  cent  in  any  one  subject  will 
be  given  certificates  of  graduation  (Form  67)  from  the  school.  Grad- 
uates who  have  attained  an  average  of  SO  per  cent  will  be  rated  as 
''proficient,"  and  those  who  have  attained  an  average  of  90  per  cent 
will  be  rated  as  ''proficient  Vv'ith  honor." 

(e)  If  it  shall  appear  during  a  candidate's  attendance  at  the  school 
that  his  appointment  to  the  Medical  Corps  would  be  undesirable,  he 
will  forthwith  be  relieved  from  active  duty  and  his  discharge  from 
the  service  recommended.  In  cases  of  gross  misconduct,  travel  home 
prior  to  relief  from  active  duty  will  not  be  ordered. 

(/)  If  the  candidate  fails  to  qualify  for  graduation  conformably 
to  the  regulations  of  the  school,  he  will  be  relieved  from  active  duty 
and  his  discharge  from  the  service  recommended.  A  second  course 
in  the  school  v/ili  in  no  case  be  allowed. 

144.  Medical  ojficers  of  the  Army. — ^Any  medical  officer  of  the  Army 
may,  upon  the  recjpimendation  of  the  Surgeon  General,  be  detailed 
for  special  instruction  at  the  school.  Medical  officers  of  the  Army 
who  are  stationed  at  or  near  the  city  of  Washington,  or  are  on  leave, 
may,  with  the  permission  of  the  Surgeon  General,  attend  the  school. 
Application  in  such  cases  vv-iil  be  made  through  military  channels. 

(a)  Medical  officers  of  the  Armj  who  have  pursued  the  prescribed 
special  course  of  instruction  vv^ith  proficiency  wiU  be  given  certificates 
to  that  effect. 

145.  Medical  ofjicers  of  the  Organized  Militia.. — ^^ledical  officers  of 
the  Organized  Militia  are  admitted  to  the  school  under  the  provisions 
of  section  16,  act  of  January  21,  1903,  as  amended  h^  act  of  May  27, 
1908  (35  Stats.,  402),  and  the  follo^\'ing  regidations: 

(a)  A  militia  officer  in  order  to  be  eligible  for  the  course  of  instruc- 
tion must  be  below  the  grade  of  lieutenant  colonel  and  not  less  than 
22  nor  more  than  35  years  of  age.  He  must  be  physically  qualified, 
of  good  moral  character,  and  a  citizen  of  the  United  States.  He 
must  have  been  a  member  of  the  Organized  ^N'lilitia  for  at  least  one 
year,  and  must  possess  such  preliminary  educational  qualifications 
as  vdll  enable  him  to  participate  profitably  in  the  prescribed  course 
of  instruction. 

(5)  Militia  officers  desiring  to  attend  the  school  must  be  nominated 
to  the  Secretary  of  War  by  the  governors  of  their  respective  States  and 
Territories,  or  by  the  commanding  general.  District  of  Columbia 
Militia,  and  the  nomination  must  in  each  case  be  accompanied  by  an 
affidavit  of  the  nominee,  stating  his  age,  citizenship,  the  medical 
school  from  which  he  received  his  degree,  the  date  of  his  graduation, 
and  the  length  of  his  service  in  the  Organized  Militia,  and  by  a  cer- 
tmcate  from  the  colonel  of  his  regiment  or  other  satisfactory  person 
as  to  his  good  moral  character. 


62  MANUAL   FOR    MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

(c)  Militia  officers,  before  their  admission  to  the  school,  must  sign  an 
agreement  to  attend  and  pursue  the  required  course  of  study  and  to  be 
bound  })y  and  conform  to  the  rules  and  discipline  imposed  by  Army 
liegulations  and  the  regulations  of  the  school,  and  to  serve  at  least 
one  year  in  the  medical  department  of  the  Organized  Militia  of  their 
respective -States  after  completion  of  their  course  at  the  school. 

{d)  The  expense  to  the  Government  on  accomit  of  militia  officers 
attending  the  school  is  strictly  limited  to  travel  allowances,  quarters 
or  commutation  of  quarters,  heat,  light,  and  subsistence.  The  travel 
allowances  consist  of  mileage  or  transportation  allowed  by  law. 
Commutation  of  quarters  or  allowance  of  quarters  in  kind  is  the  same 
as  provided  by  law  for  ofllcers  of  the  corresponding  grade  in  the  Army. 
For  subsistence  each  militia  officer  is  paid  $1  per  day  while  in  actual 
attendance  at  the  school. 

{e)  Each  militia  officer  must  provide  himself  with  the  proper  uni- 
forms of  liis  State  or  Territory.  The  course  of  study  will  require  the 
entire  time  of  the  students,  so  that  no  outside  oqippation  during  the 
school  term  will  be  practicable. 

if)  The  com-se  of  instruction  for  militia  officers  will  commence  on 
October  1  and  end  on  January  .31  following.  It  will  be  both  theoreti- 
cal and  practical,  and  v/ill  comprise  the  following  subjects: 

(1)  Bacteriology,  pathology,  and  laboratory  diagnosis. 

(2)  Medical  Department  administration. 

(3)  Military  hygiene. 

(4)  Military  surgery. 

(5)  Military  medicine  and  tropical  medicine. 

(6)  Sajiitary  chemistry. 

(7)  Sanitary  tactics   (including  map  reading  and  sanitary- 

service  problems). 

(a)  Examinations  will  be  held  at  the  end  of  the  period  and  at  such 
times  throughout  the  course  as  individual  professors  may  deem 
advisable. 

Qi)  Any  officer  showing  neglect  of  liis  duties  or  a  disregard  of 
orders  Aviil  be  reported  to  The  Adjutant  General  of  the  Army  with  a 
view  to  withdrawal  of  the  authority  to  attend  the  school. 

(i)  A  militia  officer  who  attains  a  general  average  of  80  per  cent  in 
the  total  rating  and  who  does  not  fall  below  65  per  cent  in  any  one 
subject  will  be  given  a  certificate  of  proficiency,  and  such  fact  will 
be  reported  to  the  governor  of  liis  State  or  Territory,  or,  in  the  case 
of  a  medical  officer  of  the  Organized  Mihtia  of  tlie  District  of  Columbia, 
to  the  commanding  general,  District  of  Columbia  Militia. 

{j)  A  militia  officer  who  fails  to  obtain  the  rating  necessary  to 
secure  a  certificate  of  proliciency,  but  who  has  shown  zeal  and  inter- 
est in  his  work,  may,  at  the  discretion  of  the  commandant,  be  given 
a  certilicato  of  attendance. 


MANUAL  FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY.  63 

146.  Enlisted  inen  of  the  Hospital  Corps. — Such  enlisted  men  of  the 
Hospital  Corps  as  the  Surgeon  General  may  from  time  to  time  select 
will  be  ordered  to  the  school  for  instruction  in  bacteriological  labora- 
tory work,  roentgenology,  photography,  or  other  special  subject. 

(a)  Enlisted  men  who  satisfactorily  complete  the  course  prescribed 
for  them  will  be  given  a  certificate  of  proficiency  therein.  (Form 
606.) 

THE     ARMY     FIELD     SERVICE     AND     CORRESPONDENCE 
SCHOOL  FOR  MEDICAL  OFFICERS. 

147.  This  school  is  a  branch  of  the  Army  Service  Schools  at  Fort 
Leavenworth  and  is  governed  by  regulations  published  in  general 
orders.     (See  Appendix :  Medical  Officers.) 

FIELD  PROBLEMS   FOR  MEDICAL  OFFICERS. 

148.  The  duty  w^hich  devolves  upon  the  Medical  Department  as  a 
whole,  and  upon  each  unit  and  individual  in  particular,  to  be  ready 
at  all  times  to  render  such  service  as  might  be  required  in  war  is 
coordinate  with  the  obligation  to  maintain  sanitary  conditions  and 
render  medical  attendance  to  troops  in  garrison  in  time  of  peace. 
That  this  may  be  realized,  enipha,sis  should  be  laid  on  the  necessity 
for  utilizing  to  the  fullest  extent  every  opportunity  wdiich  is  pre- 
sented for  trainmg  in  the  duties  of  field  service. 

Each  individual  of  the  sanitary  service  should  know  his  own  duty 
and  the  duty  of  each  of  those  under  him,  if  he  is  in  command;  and,  in 
addition,  should  have  sufficient  knowledge  of  the  mission  of  those 
with  w^hom  he  comes  in  contact  to  insure  concert  of  action. 

149.  The  knowledge  required  is  both  theoretical  and  practical. 
The  former  embra>ces  ttie  study  of:  (1)  The  general  principles  which 
govern  combatant  forces  and  the  resultant  conditions  with  which 
the  sanitary  service  has  to  deal,  including  conditions  of  the  march, 
camp,  and  the  several  forms  of  combat,  the  system  of  supply  and  the 
methods  of  communication;  (2)  the  general  scheme  of  administration; 
(3)  the  composition  and  disposition  of  organizations,  including  the 
space  which  they  occupy  on  the  road  and  in  camp  and  the  places 
assigned  to  Medical  Department  organizations  and  individuals  with 
relation  to  the  combatant  troops:  (4)  the  nature  of  the  sanitary 
service  w^hich  will  be  required  by  the  troops  and  the  equipment  and 
personnel  which  may  be  necessary  for  that  service  under  different 
conditions*  Strictly  speaking,  knowledge  of  the  latter  is  obtainable 
only  under  war  conditions,  but  very  much  of  a  practical  nature  may 
be  learned  by  a  study  of  drill  regulations  and  by  applying  them  in 
sim.ulated  war  conditions,  such  as  field  exercises  with  mobile  troops. 

150.  War  plans  and  plans  for  the  conduct  of  maneuvers  simulating 
war  are  based  on  certain  hypotheses  published  by  the  War  Depart- 
ment in  its  various  manuals  governing  the  details  of  organization, 


64  '  MAXUAL    FOR    MEDICAL   DEPAETME>:T_,    U.    S.    ARMY. 

the  plans  for  mol3iIi>':ation,  and  the  general  operation  of  the  service 
in  WAT.  A  method  of  instruction  in  very  general  use  consists  in  the 
formulation  of  problems  based  on  the  Iwpotheses  contained  in  official 
publications  which  develop  questions  involving  the  tactical  adminis- 
tration of  organizations,  and  which  call  for  the  application  of  theo- 
retical knowledge  if  the  problem  is  a  map  problem  or  problem  for 
WTitten  solution,  and  of  both  theoretical  and  practical  laiowledge  in 
case  of  a  field  problem.  The  sanitary  service  should  avail  itself  of 
all  opportunities  which  present  to  cooperate  ^vith  line  troops  in  the 
solution  of  problems  and  should  formulate  problems  for  the  purpose 
of  developing  situations  simulating  those  which  the  sanitary  service 
would  be  requhed  to  meet  in  time  of  war. 

161.  The  hypotheses  generally  accepted  by  the  line  should  foi*m 
the  bases  of  all  problems  so  formulated;  for  example,  a  sanitary 
problem  should  be  formulated  in  accordance  with  the  strength  of 
organizations  as  published  in  regulations,  with  the  order  of  organiza- 
tions in  the  march  table,  with  the  road  space  allotted,  with  the 
distances  published  as  norm.ally  covered  by  marching  troops,  with 
the  rate  of  speed  of  messengers,  etc.  It  is  always  understood  that 
these  hypotheses  are  to  be  regarded  as  general  and  that  actual 
conditions  may  deviate  vsadely  from.  them. 

152.  Certain  general  deductions  may  be  made  from  experience 
in  war,  which  will  serve  as  hypotheses  on  which  plans  for  the  operation 
of  the  sanitary  service  may  be  based.  Casualties  may  be  estimated 
at  10  per  cent  of  the  troops  engaged,  with  the  understandmg  that 
certain  organizations  may  sufier  very  much  heavier  losses,  while  some 
may  suffer  less.  Of  the  casualties,  the  killed  maj^  be  estimated  at  20 
per  cent;  seriously  wounded,  8  per  cent;  less  seriously  wounded  but 
requiring  transportation,  32  per  cent;  the  wounded  able  to  walk  to 
dressmg  stations  or  field  hospitals,  40  per  cent.  Tlie  demand  for  bed 
capacity  in  the  rear  of  the  zone  of  the  advance  will  depend  upon  the 
frequency  and  severity  of  the  engagements.  There  have  been 
instances  where  after  several  months  campaigning  it  has  reached  40 
per  cent  of  the  strength  of  the  Army  maintained  at  the  front.  For 
field  problems  it  should  be  assumed  that  a  bed  capacity  equivalent 
to  10  per  cent  of  the  total  force  in  the  zone  of  the  advance  is-  imme- 
diately available  when  troops  take  the  field,  and  that  facilities  have 
been  provided  for  promptly  supplementing  that  number  should  the 
occasion  require. 

163.  The  total  number  of  sick  and  wounded  to  be  provided  for 
having  been  determined,  base  or  general  hospitals  arc  allotted  in  the 
proportion  of  1  to  each  500  beds  to  be  provided.  It  may  be  assumed 
that  the  total  medical  personnel  required  from  front  to  rear  will  bo 
equivalent  to  10  per  cent  of  the  total  strength  of  the  troops  in  the 
home  territory  and  in  the  theater  of  operations.     Of  this  personnel, 


MANUAL  FOR   MEDICAL   DEPARTMENT^   V.    S.    ARMiT.  65 

it  may  be  assiimeil  that  8  per  cent  will  be  re'quired  to  be  organized 
and  that  2  per  cent  will  be  unorganized  (individual  voluntary  aid 
and  civilians  impressed  or  hu-ed  as  occasion  may  demand).  Of  the 
total  of  10  per  cent  required  it  may  be  assumed  that  the  medical 
service  of  the  Army  will  be  handled  by  civilian  assistants  to  the  ex- 
tent of  3  per  cent  (1  per  cent  organized  mto  hospital  columns  and  field 
columns — paragraph  536fc — and  2  per  cent  unorganized);  and  that 
the  7  per  cent  belonging  to  the  Army  will  be  distributed  as  follows: 
Medical  officers,  0.74  per  cent;  Nurse  Corps,  0.52  per  cent;  enlisted, 
5.74  per  cent.  The  total  number  of  medical  officers  required  may  be 
estimated  at  1  per  cent  or  above,  assummg  that  wdiatever  is  required 
above  0.74  per  cent  will  be  furnished  from  civilian  sources  (Medical 
Reserve  Corps).  Of  the  10  per  cent  of  sanitary  personnel  thus  pro- 
vided, 4  or  5  per  cent  may  be  assumed  as  allotted  to  the  zone  of  the 
advance  and  the  balance  on  the  line  of  communications  or  in  the 
home  territory,  depending  upon  the  policy  of  the  admmistration  as 
to  where  the  sick  and  wounded  sent  to  the  rear  are  to  be  cared  for. 

In  the  past  armies  have  requked  for  their  sanitary  service  as  a 
whole,  from  front  to  rear,  one  individual  for  every  man,  sick  or 
wounded,  this  being  due  to  the  fact  that  more  than  one-half  of  the 
personnel  required  for  the  service  is  held  in  readiness  to  render  first 
aid  and  transport  disabled  to  the  rear  and  is  not  available  for  their 
care  thereafter. 

INSTRUCTION  IN  HYGIENE. 

154.  Hygiene  is  taught  to  cadets  at  West  Point,  conformably  to  the 
Regulations  for  the  United  States  Military  Academy,  and  to  commis- 
sioned oflicers  of  the  Army  and  of  the  militia  at  garrison  and  service 
schools  as  prescribed  by  general  orders  issued  from  time  to  time  for 
the  regulation  of  military  education  in  the  Arm^^ 

INSTRUCTION  IN  FIRST  AID. 

155.  The  instruction  necessary  to  enable  company  officers  to  drill 
the  enlisted  men  in  their  companies  in  the  duties  of  fitter  bearers  and 
methods  of  rendering  first  aid  to  the  sick  and  wounded  will  be  given 
chiefly  by  practical  demonstrations  made  in  their  presence.  The 
prescribed  driUs  of  the  detachment  of  the  Hospital  Corps  wiU  be 
utilized  for  this  purpose,  especial  attention  being  given  to  the  instruc- 
tion in  first  aid.  The  practical  demonstrations,  accompanied  by  full 
explanations,  should  include  methods  of  arresting  hemorrhage,  of 
applying  the  dressings  contained  in  the  first-aid  packet,  of  immobiliz- 
ing a  fractured  Umb,  of  resuscitating  those  apparently  drowned,  etc., 
and  should  be  supplemented  by  lectures  designed  to  convey  aU  essen- 
tial information  with  reference  to  the  anatomy  of  bones  and  blood 

70156°— 18- — 5 


66  MANUAL   FOR    MEDICAL   DEPAETMEiSTT,   U.    S.    AEMY. 

vessels,  the  causes  and  treatment  of  syncope  and  of  heat  exhaustion, 
the  differential  diagnosis  and  treatment  of  sunstroke,  the  rationale  of 
the  various  measures  of  first  aid  to  the  sick  and  wounded,  etc. 

TRAINING  OF  THE  HOSPITAL   CORPS,    GENERAL. 

156.  While  the  personnel  of  the  Medical  Department  has  important 
duties  to  perform  in  peace,  as  well  as  in  war,  readiness  for  active 
service  should  be  one  of  the  principal  objectives  to  be  kept  in  view 
in  all  peace-time  training.  The  activities  of  all  concerned  will  con- 
sequently be  directed  toward  the  attainment  of  that  end.  The  value 
of  an  organization  is  to  be  judged,  not  only  by  the  efficient  per- 
formance of  its  function  during  peace,  but  by  its  abiHty  to  take  the 
field  and  to  meet  successfully  every  phase  of  war  service.  Command- 
ing officers  of  sanitary  units  and  Hospital  Corps  detachments  will 
be  given  great  latitude  in  the  choice  of  ways  and  means  for  training 
their  personnel  and  will  be  held  to  a  corresponding  responsibility  for 
results  attained. 

FIELD   HOSPITALS   AND   AMBULANCE   COMPANIES. 

157.  xV  limited  number  of  field  hospitals  and  ambulance  companies 
are  maintained  in  time  of  peace  to  provide  trained  organizations  for 
duty  with  the  troops  when  they  are  on  field  service  and  to  afford  a 
means  for  training  officers  and  men  of  the  sanitary  service  in  the 
work  of  the  sanitary  field  organizations.  So  far  as  practicable  men 
trained  in  these  organizations  should  constitute  that  portion  of  the 
Hospital  Corps  personnel  at  posts  which  is  assigned  to  units  of  the 
divisional  sanitary  train  on  mobilization.  (See  Army  Regulations: 
Hospital  Corps.) 

In  the  training  of  these  organizations  special  attention  should  be 
given  to  those  elements  of  field  work  for  instruction  in  which  only 
limited  facilities  are  afforded  at  posts,  such  as  the  practical  use  of  the 
articles  of  field  ecfuipment,  lines  of  aid,  equitation,  care  of  animals, 
and  the  use  of  the  pack  saddle. 

158.  The  personnel  of  these  organizations  in  time  of  peace  com- 
prise two  classes:  (1)  A  permanent  cadre,  consisting  of  such  nimaber 
of  noncommissioned  officers  and  men  as  are  deemed  necessary  to 
maintain  continuity  of  policy  and  method  in  instruction;  (2)  tem- 
porary personnel  attached  to  these  organizations  for  purposes  of 
instruction. 

(a)  Details  of  organization  of  field  hospitals  and  ambulance  com- 
panies are  given  in  Tables  of  Organization. 

159.  On  field  service  with  a  mobilized  division,  field  hospitals  and 
ambulance  companies  operate  under  directors,  whose  relation  to  them 
is  similar  to  that  of  a  major  of  the  line  to  his  battalion.  (See  pars. 
652  and  692.)     In  time  of  peace  when  two  or  more  of  these  units  take 


MANUAL  FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  67 

permanent  station  at  the  same  post  under  conditions  which  do  not 
warrant  the  assignment  of  a  dii*ector,  the  senior  oflicer  on  duty  with 
tlie  organizations  will  assume  in  general  tlie  duties  of  a  director 
of  the  several  units  in  addition  to  his  duties  as  company  commander. 
For  purposes  of  post  administration,  the  several  units  may  be  treated 
as  a  sanitary  battalion,  a  combined  morning  report  bemg  furnished, 
etc. 

160.  The  senior  officer  of  two  or  more  field  hospitals  or  ambulance 
companies  wiU  conduct  the  course  of  instruction  as  though  they  were 
a  single  organization,  and  will  assign  the  instructors  from  the  per- 
manent personnel  of  the  organizations,  as  he  may  deem  best.  In 
other  respects,  however,  tlie  several  organizations  wiU  retain  then' 
autonomy  as  separate  and  distinct  administrative  and  tactical  units, 
each  under  the  command  of  its  own  senior  medical  ofncer.  The 
disciphne  and  interior  economy  of  these  organizations  will,  so  far  as 
practicable,  conform  to  those  of  a  company  of  infantry! 

161.  The  program  of  instruction  for  these  organizations,  the 
sequence  of  the  subjects,  the  manner  in  which  the  same  shall  be 
taught,  the  details  thereof  to  be  taken  up,  and  the  number  of  hours  to 
be  given  to  each  wiU  be  prescribed  by  the  War  Department. 

162.  The  course  for  privates  fii'st  class  and  privates  will  comprise, 
in  addition  to  disciphne,  the  foUo-wdng  subjects:  (1)  Duties  of  a  sol- 
dier; (2)  bearer  drill;  (3)  first  aid,  including  bandaging  and  the  use  of 
Medical  Department  equipment;  (4)  personal  and  camp  hygiene, 
including  the  sterilization  of  water  and  disinfection;  (5)  anatomy  and 
physiology;  (6)  care  of  animals,  equitation,  packing,  and  driving;  (7) 
the  operation  of  the  sanitary  service  in  the  field. 

163.  Records  of  class  work  will  be  kept  for  each  mdividual  in  each 
subject  of  the  course,  preferably  upon  loose  sheets  appropriately 
ruled  or  in  a  blank  book  adapted  to  the  purpose. 

{a)  The  relative  standings  of  men  pursuing  the  same  courses,  as 
determined  by  their  average  monthly  standings,  will  be  published 
monthly  to  their  respective  classes. 

164.  Privates  first  class  and  privates  who  obtain  a  final  mark  of 
70  per  cent  m  each  subject  of  the  coui'se,  will  be  given  certificates  of 
proficiency  on  Form  60, 

(a)  Any  man  who,  after  two  months'  instruction,  shows  such 
mental  incapacity  and  inaptitude  as  to  render  his  further  attendance 
on  this  course  of  instruction  useless,  will  be  reported  to  the  Surgeon 
General  for  his  action. 

(6)  Men  who  fail  to  attam  proficiency  in  any  subject  may,  m  the 
discretion  of  the  officer  m  charge  of  instruction,  be  required  to  go  over 
the  subject  again. 

165.  Enlisted  men  of  the  permanent  personnel  who  shall  have 
taken  the  prescribed  course  and  obtained  certificates  of  proficiency 
will  not  ordinarily  be  required  to  take  the  course  again;  but  should 


68  MANUAL   FOR   MEDICAL  DEPAKTMEXT,   TJ.    S.   ARMY. 

it  subsequently  appear  probable  that  any  such  enlisted  man,  having 
a  certificate  of  proficiency,  is  nevertheless  not  proficient  in  one  or 
more  of  the  subjects,  he  may  be  required  to  take  the  course  therein 
once  more.  If  upon  the  second  course  the  soldier  does  not  show 
proficiency,  his  former  certificate  will  be  canceled  by  writing  across 

its  face  the  words:  "Canceled  for  failure  to  qualify  in (naming 

the  subject  or  subjects)  on  second  course,  to  ,  19     ." 

This  notation  will  be  signed  by  the  officer  in  charge  of  instruction. 
Failure  to  qualify  on  such  second  course  will  be  reported  at  once  to 
the  Surgeon  General  with  a  view  to  securing  the  soldier's  transfer 
to  post  duty,  it  being  the  aim  of  the  department  to  retain  in  the 
permanent  personnel  only  such  qualified  men  as  will  be  a  constant 
example  of  efficiency  to  the  men  of  the  temporary  personnel  attached 
for  instruction.  Should,  however,  the  soldier  taking  such  second 
course  in  whole  or  in  part  be  again  found  proficient,  a  new  certifi- 
cate of  proficiency  will  not  be  given  him,  but  a  notation  of  the  facts 
will  be  made  m  his  descriptive  list.  A  third  course  will  be  required 
in  no  case.  Lack  of  efficiency  in  practical  work  after  a  second  course 
will  indicate  the  necessity  of  other  measures  of  discipline. 

166.  Further  regulations  for  the  government  of  field  hospitals  and 
ambulance  companies  and  the  training  of  their  personnel  will  be 
found  m  Drill  Kegulations  and  Service  Manual  for  Sanitary  Troops. 

HOSPITAL   CORPS   DETACHMENTS. 

167.  Every  Hospital  Corps  detachment  under  the  comm^and  of  a 
medical  officer  will  undergo  the  instruction  hereinafter  prescribed, 
unless  excused  therefrom  by  special  direction  of  the  Surgeon  General. 

DISCIPLINE    AND    DUTIES    OF   THE    SOLDIER. 

168.  Instruction  in  discipline — includmg  character,  conduct,  mili- 
tary bearing,  obedience,  and  general  efficiency — is  to  be  taken  up  at 
once  when  the  recruit  joins  the  detachment,  and  never  ceases,  being 
given  by  commissioned  and  noncommissioned  officers  in  connection 
with  the  soldier's  daily  round  of  duties  and  continued  as  long  as  he 
remains  in  the  service. 

169.  Instruction  in  the  duties  of  the  soldier  will  cover  the  Articles 
of  War,  the  soldier's  handbook,  the  orders  and  regulations  in  regard 
to  saluting,  the  granting  of  indulgences,  arrest  and  confinement,  the 
wearing  of  uniforms,  etc.  Besides  the  few  hours  of  formal  teaching 
provided  for  in  the  first  regular  winter  course  in  garrison,  every  oppor- 
tunity should  be  taken  at  all  times  to  impart  information  in  these 
various  subjects. 

BEARER   DRILL    AND    FIELD    WORK. 

170.  Instruction  in  drill  and  field  work  will  bo  given  throughout 
the  year  for  one  hour  a  week.  All  members  of  the  detachment  will 
attend  it  unless  excused  by  the  surgeon  for  some  special  reason. 


MANUAL   FOR    MEDICAL   DEPARTMENT,   U.    S.    ARMY.  69 

(a)  This  instruction  includes  all  the  subjects  in  Part  I  of  the  Drill 
Regulations  and  Service  Manual  for  Sanitary  troops  and  all  the 
usual  employments  of  fieldwork,  especially — 

Uses  of  the  first-aid  packet. 

Uses  of  other  articles  of  the  individual  equipment  of  the  Hospital 
Corps  soldier. 

First-aid  treatment  of  fractures  in  all  regions  of  the  body. 

The  methods  of  transporting  wounded  in  peace  and  in  war. 

Organization  of  the  ambulance  company.  Work  of  the  ambulance 
company  durmg  an  action.  Establishment  of  aid  and  dressing  sta- 
tions. Collection,  care,  and  transportation  of  the  wounded  from 
the  firing  line  to  the  field  hospital,  with  the  tagging  of  patients  and 
the  treating  of  them  as  indicated,  using  first-aid  equipment  and 
extemporized  materials. 

Use  and  care  of  articles  of  field  hospital  equipment. 

Pitching  and  striking  tentage  and  packing  field  equipment. 

171.  FuU  advantage  should  be  taken  of  the  summer  marching  and 
encampment  of  troops  to  impart  the  above  instruction. 

(a)  Occasionally,  throughout  the  year,  all  available  men  should 
be  taken  out  for  marches  with  and  without  the  litter. 

CARE    OF    ANIMALS    AND    EQUITATION. 

172.  Men  of  the  Hospital  Corps  will  be  instructed  in  the  care  of 
animals  and  in  equitation  as  prescribed  in  Army  Regulations  and  in 
General  Orders. 

WINTER    COURSES    OP    INSTRUCTION    IN    GARRISON. 

173.  The  regular  winter  courses  of  instruction  in  garrison  comprise 
a  period  of  34  weeks  frOm  November  1  to  June  30.  Acting  cooks 
will  be  required  to  attend  those  m  cooking  only.  All  the  other  men 
of  the  detachment  will  take  the  prescribed  courses,  except  "  qualified" 
men,  men  excused  by  the  Surgeon  General  from  further  instruction 
imder  the  provisions  of  paragraph  178a,  and  the  absolutely  neces- 
sary attendants  in  the  hospital,  such  attendants  being  detailed  as 
far  as  practicable  from  the  "qualified"  men  and  those  excused  by 
the  Surgeon  General.  Night  nurses,  when  on  duty  all  night  as  such, 
will  be  considered  "necessary  attendants"  within  the  meaning  of 
this  paragraph. 

174.  The  winter  courses  are  as  follows: 

Course  No.  1. — For  privates  first  class  and  privates.  Subjects: 
Duties  of  the  soldier,  hours  8;  anatomy  and  physiology,  hours  16; 
first  aid,  hours  20;  nursing,  hours,  36;  total,  hours  80. 

Course  No.  2. — For  selected  privates  first  class  and  privates.  Sub- 
jects: Cooking  and  diet  cooking,  hours  12;  materia  medica  and  phar- 
macy, hours  24;  elementary  hygiene,  hours  8;  clerical  work,  hours 
12;  total,  hours  56. 


70.  MAIS^UAL   FOR    MEDICAL   DEPARTMENT^    U.    S.    ARMY. 

(a)  The  following  textbooks  will  be  used  for  study  and  reference: 
Mason's  Handbook  for  the  Hospital  Corps;  Drill  Kegulations  and 
Service  Manual  for  Sanitary  Troops;  Manual  for  the  Medical  Depart- 
ment; Army  Regulations. 

175.  Practical  performance  of  the  work  they  are  being  instructed 
in  should  be  reciuired  of  soldiers  pursuing  the  winter  courses.  While 
theoretical  teaching  by  lectures,  demonstrations,  and  recitations  from 
textbooks  has  its  place,  it  should  be  regarded  as  a  secondary  one. 

176.  The  sequence  of  the  subjects  will  be  determined  by  the  depart- 
ment surgeon,  who  will  consider  the  climatic  and  other  conditions  in 
his  department  in  arranging  the  year's  instruction. 

177.  Each  subject  will  be  finished  before  taking  up  another,  and 
upon  its  conclusion  an  oral  examination  therein  will  be  held  by  the 
instructor,  under  the  direction  of  the  surgeon. 

178.  Records  of  class  work  in  the  winter  courses  will  be  kept  in  a 
blank  book  adapted  to  the  purpose.  Every  soldier  taking  the  courses 
will  be  marked  in  each  subject  thereof  daily. 

(a)  Men  who  obtain  a  final  mark  of  70  per  cent  in  any  subject  will 
be  classed  as  "qualifiexi"  in  that  subject.  Men  who  faU  to  obtain 
70  per  cent  will  be  required  to  take  the  course  the  following  3^ear.  If 
they  again  fail,  their  names  will  be  reported  to  the  Surgeon  General, 
who  may,  in  his  discretion,  excuse  them  from  subsequent  courses. 

(b)  Men  who  obtain  a  final  mark  of  70  per  cent  in  each  subject  of 
one  oj  more  of  the  winter  courses  will  be  given  certificates  of  pro- 
ficiency therein  on  Form  60a. 

179.  Men  who  have  previously  qualified  will  be  examined  at  the 
beginning  of  the  winter  courses  to  ascertain  whether  the}^  continue 
qualified.  If  a  soldier  is  found  stiU  proficient  on  such  examination, 
that  fact  will  be  noted  in  his  service  record  and  he  wiU  be  excused 
from  instruction  in  that  subject,  but  a  new  certificate  of  proficiency 
will  not  be  given  to  him.  If,  however,  he  is  found  deficient  in  any 
subject  or  subjects  he  will  be  required  to  take  the  ensuing  course  of 
garrison  instruction  therem.     {Q.  M.  M.  D.,  No.  3.) 

180.  The  aggregate  number  of  hours  of  instruction  in  bearer  drill 
and  field  work,  in  care  of  animals  and  equitation,  and  in  the  regular 
garrison  courses  given  during  the  period  of  a  return  of  tiie  Hospital 
Corps,  Form  47,  to  each  soldier  carried  thereon,  will  be  noted  in  the 
appropriate  column  opposite  his  name  on  the  return. 

INSTRUCTION  IN  THE  FIELD. 

181.  In  the  field  special  attention  should  })e  given  to  field  work,  to 
include  the  care  of  animals,  e([aitation,  use  of  field  a})pliaiices,  camp 
sanitation,  establishment  of  lines  of  aid  in  battle,  etc.  In  the  field  no 
limit  is  to  be  placed  on  the  amount  of  time  to  be  devoted  to  this 
instruction. 


ARTICLE  III.— SANITATION. 


182.  Supervision  of  the  sanitation  of  a  post  or  command  is  one  of 
the  most  important  duties  devolving  upon  the  surgeon.  The  formal 
sanitary  reports  (see  par.  414)  prescrihed  hy  Army  Regulations  are 
the  appropriate  and  usual  vehicle  for  the  communication  of  his  views 
and  recommendations  concerning  sanitary  questions,  particularly 
those  which  require  the  action  of  department  commanders  or 
higher  authority.  But  he  should  not  content  himself  with  a  perfunc- 
tory rendition  of  these  reports.  His  watchfulness  over  sanitary 
conditions  should  be  unremitting;  and  should  he  discover  any  defects 
therein  which  are  susceptible  of  correction  by  local  authority  he  should 
at  once  verbally  report  them  to  the  commanding  officer,  recommend- 
ing such  immediate  remedial  action  as  may  be  feasible. 

(a)  The  conditions  of  the  service  are  so  various  that  no  uniform 
rules  for  sanitary  inspections  and  for  bettering  the  sanitation  of  posts 
and  commands  can  be  framed.  The  medical  officer  must  adapt  his 
action  on  sanitary  questions  to  the  special  necessities  of  each  case, 
which  he  should  invariably  study  from  a  practical  standpoint.  His 
first  and  chief  efforts  should  be  bent  toward  the  correction  of  real 
sanitary  faults,  that  is,  faults  which  actually  have' produced  or  are 
lively  proximately  to  produce  disease,  rather  than  toward  the  correc- 
tion of  theoretical  defects  which,  though  objectionable  in  principle, 
are  nevertheless  inert,  have  caused  no  sickness,  and  show  no  hkelihood 
of  causing  any.  It  will  be  time  enough  to  take  up  the  theoretical 
defects  after  the  practical  faults  are  cured.  This  is  especially  impor- 
tant in  the  field,  where  theoretical  perfection  is  unattainable.  So, 
again,  in  recommending  or  directing  corrective  measures,  the  medical 
officer  should  take  into  account  not  only  their  suitability  to  the  par- 
ticular end  in  view,  but  also  the  difficulty  of  procuring  them;  and 
when  the  remedy  which  is  theoretically  the  best  is  too  difficult  to 
procure  he  should  choose  some  other  one  nearer  at  hand  if  it  will 
reasonably  answer  the  purpose. 

INFECTIOUS   DISEASES. 

183.  Medical  officers  are  expected  to  be  familiar  with  approved 
methods  for  preventing  the  spread  of  infectious  disease  and  will  be 
held  responsible  for  their  proper  application  at  all  times.  In  the 
following  paragraphs  only  such  measures  are  considered  as  have  been 
made  the  subject  of  administrative  action. 

TYPHOID  FEVER  AND  PARATYPHOID  FEVER. 

184.  Early  detection  of  all  cases  of  typhoid  fever  is  necessary, 
especially  those  of  mild  or  ambulant  type,  and  of  all  typhoid  carriers 
or  excretors.    Undetermined  fevers  should  be  regarded  with  suspicion 

71 


72  MANUAL    FOE,   MEDICAL   DEPAETMrNT,    U.    S,    AEMY. 

and  handled  like  typhoid  until  that  disease  is  excluded.  Specimens 
of  blood  from  suspected  cases  should  be  sent  promptly  to  the  nearest 
laboratory  for  diagnosis. 

185.  No  patient  convalescent  from  typhoid  should  be  released 
from  isolation  until  three  successive  examinations  of  his  stools  and 
urine,  collected  at  six-day  intervals,  have  shown  him  to  be  free  from 
tji^hoid  bacilli. 

186.  Under  existing  orders  all  officers  and  enlisted  men  of  the 
Army  under  45  years  of  age,  and  civilian  employees  subject  to  field 
service,  are  required  to  be  immunized  against  typhoid  fever.  The 
method  of  administration  of  the  typhoid  vaccine  is  prescribed  in 
instructions  from  the  Surgeon  General's  Office. 

187.  A  record  will  be  kept  by  the  surgeon  on  Form  81,  except  as 
otherwise  specially  authorized,  of  each  person  vaccinated,  showing 
the  number  of  doses  and  the  dates  upon  which  they  were  given. 

(a)  Should  an  enlisted  man  or  a  civilian  employee  leave  the  com- 
mand en  route  to  another  command  before  the  third  dose  of  typhoid 
vaccine  is  given,  a  duplicate  of  the  incomplete  vaccination  card  will 
be  sent  by  the  surgeon  direct  to  the  surgeon  of  the  new  command  for 
the  latter's  guidance  in  completing  the  procedure.  This  requirement 
is  not  applicable  to  nurses,  concerning  whom  see  paragraph  88&. 
Should  a  commissioned  officer  so  leave,  he  himself  will  be  furnished 
with  a  duplicate,  and  a  triplicate  will  be  sent  to  the  Surgeon  General. 
(C.  M.  M.  D.,  No.  6.) 

188.  Upon  the  administration  of  the  third  dose  to  an  enlisted  man 
the  surgeon  will  furnish  information  of  the  date  when  the  typhoid 
prophylaxis  was  completed  to  the  company  commander,  so  that  the 
proper  notation  may  be  made  upon  the  soldier's  service  record. 
(Form  81a.)  If  any  question  subsequently  arises  as  to  whether  the 
procedure  has  been  completed,  the  service  record  should  be  consulted. 

(a)  Upon  the  administration  of  the  third  dose  to  a  commissioned 
officer  or  civilian  employee  (except  nurses,  concerning  whom  see 
par.  886)  a  duplicate  of  the  completed  card,  Form  81,  will  be  fur- 
nished him,  and  a  tripHcate  will  be  sent  to  the  Surgeon  General. 
(C.  JL  M.  D.,  No.  6.) 

189.  A  report  will  be  furnished  in  every  case  of  typhoid  fever  or 
paratyphoid  fever  occurring  in  an  officer,  enlisted  man,  or  civilian 
employee  who  has  received  the  typhoid  vaccine,  describing  in  detail 
the  method  of  arriving  at  the  diagnosis. 

190.  The  practical  extinction  of  typhoid  fever  in  the  Army  affords 
an  excellent  opportunity  to  study  the  prevalence  and  distribution  of 
paratyphoid  fever  in  the  United  States,  as  well  as  to  clear  up  the  eti- 
ology of  the  fevers  of  undertermined  causation.  The  Widal  reaction 
being  of  no  value  in  immunized  persons,  some  other  method  of  diag- 
nosis is  necessary  to  distinguish  between  typhoid  and  paratyphoid 


MANUAL    FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY.  73 

and  other  continiiod  fovors.  This  is  best  accomphshcd  by  blood 
cultures,  and  it  is  desired  that  medical  oflicers  make  use  of  them 
when  indicated. 

191.  Bile  medium  for  the  purpose  of  making  blood  cultures,  and 
containers  for  forwarding  feces,  urine,  and  blood  for  diagnostic  pur- 
poses may  be  obtained  by  direct  application  to  the  nearest  depart- 
ment laboratory,  as  indicated  in  paragraph  354.  Two  bottles  of  this 
medium  will  be  kept  on  hand  in  each  hospital. 

Note.— See  also  paragraph  88,  and  Appendix:  Typhoid  Prophylaxis  and  Para- 
typhoid Fever. 

SMALLPOX. 

192.  Vaccination  being  recognized  as  an  effective  means  of  prevent- 
ing smallpox,  War  Department  orders  require  that  all  recruits  upon 
enlistment  and  all  soldiers  upon  reenlistment  shall  be  vaccinated. 
WTien  the  first  vaccination  of  a  recruit  is  noneffective,  it  will  be  re- 
peated at  the  end  of  eight  days. 

(a)  All  the  personnel  of  a  military  command,  station,  or  transport, 
including  civilians  connected  therewith,  will  be  vaccinated  when,  in 
the  opinion  of  the  surgeon  responsible  for  proper  sanitation,  it  is 
necessary  as  a  means  of  protection  against  smallpox.  Civilians 
refusing  to  be  vaccinated  when  so  directed  by  proper  authority  may 
be  excluded  from  the  military  reservation  or  station. 

(6)  Officers  should  be  vaccinated  at  least  once  in  a  period  of  seven 
years.  Troops  under  orders  to  perform  over-sea  journeys  or  field 
service  will  be  inspected  by  a  medical  officer  with  respect  to  their 
protection  against  smallpox,  and  those  who  in  the  opinion  of  the 
medical  officer  require  it  will  be  vaccinated. 

193.  A  record  will  be  kept  by  the  surgeon  on  Form  81,  except  as 
otherwise  specially  authorized,  of  each  person  vaccinated,  showing 
the  date  of  vaccination  and  the  result. 

(a)  Should  an  enlisted  man'  or  civilian  employee  leave  the  com- 
mand en  route  to  another  command  before  the  result  of  the  vaccination 
is  ascertained,  a  duplicate  of  the  incomplete  vaccination  card  will 
be  sent  by  the  surgeon  direct  to  the  surgeon  of  the  new  command  for 
the  latter's  information  and  guidance.  This  requiremeiit  is  not 
applicable  to  nurses,  concerning  whom  see  paragraph  88h.  Should 
a  commissioned  officer  so  leave  he  himself  will  be  furnished  with  the 
duplicate. 

(h)  Wlien  the  result  of  the  vaccination  of  an  enlisted  man  is  ascer- 
tained, the  surgeon  will  notify  the  company  commander  of  the  date 
of  the  vaccination  and  the  result,  so  that  the  proper  notation  may 
be  made  upon  the  soldier's  service  record.  (Form  81a.)  If  any 
question  subsequently  arises  as  to  whether  vaccination  has  been 
performed,  the  service  record  should  be  consulted. 


74  MAXUAL    FOE    MEDICAL   DEPAETMENT^    V.    S,    ARMY. 

(t)  Wlien  the  result  is  ascertained  in  the  case  of  a  commissioned 
officer  or  civilian  employee  (except  nurses,  concerning  whom  see  par. 
88 J)  a  duplicate  of  the  completed  card  (Form  81)  will  be  furnished 
him  and  a  triplicate  will  be  sent  to  the  Surgeon  General.  {C.  M. 
M.  7).,  No.  6.) 

194.  The  method  of  performing  vaccination  will  be  in  accordance 
with  instructions  issued  by  the  War  DejDartment. 

Note. — See  also  Appendix :  I'accination . 

MALARIAL    FEVER. 

195.  To  secure  continuous  observation  and  proper  treatment  of 
every  soldier  and  general  prisoner  suffering  from  malarial  infection, 
a  register  of  each  case  will  be  kept  on  Form  56,  and  the  individual 
will  be  required  to  report  from  time  to  "time  for  such  examination 
or  treatment  as  may  be  necessary. 

196.  The  register  will  be  begun  .at  the  first  station  where  the 
diagnosis  is  made  and  will  be  continued  until  the  patient  permenantly 
leaves  the  service. 

197.  When  the  pati-ent  is  transferred  from  one  station  or  command 
to  another  the  register  wiM  be  sent  to  the  surgeon  of  the  new  station 
or  command.  On  the  arrival  of  the  register  the  surgeon  shoidd 
request  that  the  patient  be  ordered  to  report  to  the  hospital  for 
examination.  If  the  facts  learned  from  the  record  or  obtained  from 
the  patient  show  that  saij  sj'mptoms  of  malaria  have  been  present 
during  the  preceding  six  months,  an  examuiation  of  the  blood  should 
be  made  to  determine  whether  further  treatment  is  necessary. 

(a)  On  termination  of  service  or  confinement,  without  reenlist- 
ment,  the  register  v.ill  be  forwarded  to  the  Surgeon  General. 

VENEREAL   DLSEASES. 

198.  The  following  quotations  are  fxom  existing  orders  concermng 
venereal  diseases  (see  Appendix:   Venereal  Diseases) : 

(a)  Commanding  officere  will  require  that  men  who  expose  themselves  to  the  danger 
of  contracting  venereal  diseases  shall  at  once  upon  their  return  to  camp  or  garrison 
report  to  the  hospital  or  dispensary  for  the  application  of  such  cleansing  and  prophy- 
laxis as  may  be  prescribed  by  the  Surgeon  General.  Any  soldier  who  fails  to  comply 
with  such  instructions  shall  be  brought  to  trial  by  court-martial  for  neglect  of  duty. 

(b)  Commanding  officers  will  require  a  medical  officer,  accompanied  by  the  com- 
pany or  detachment  commander,  to  make  a  thorough  pliysical  insix^ction  twice  in 
each  month  of  all  the  enlisted  men  (except  manied  men  of  good  character)  of  each 
organix,ation  belonging  to  or  attached  to  the  command.  These  insjjections  will  be 
made  at  times  not  known  beforehand  to  the  men  and  preferably  immediately  after  a 
formation.  The  dates  on  wliich  the  physical  inspections  of  the  variou.s  organizations 
are  made  will  be  noted  on  the  monthly  sanitary  reports. 

(c)  At  these  inspections  a  careful  examination  of  the  feet  and  footwear  and  of  the 
condition  of  personal  cleanliness  of  the  men  will  be  made,  as  well  as  careful  observa- 
tion for  the  detection  of  venereal  disease.s. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  i  b 

(d)  Cases  of  the  latter  will  be  promptly  subjected  to  treatment,  but  not  necessarily 
excused  from  duty  unless,  in  the  opinion  of  the  surgeon,  deemed  desirable.  They 
will  be  made  of  record  in  the  medical  reports  in  any  case.  A  list  of  those  diseased 
but  doing  duty  will  be  kept  both  by  the  company  or  detachment  commander  and  the 
surgeon,  and  the  infected  men  will  be  required  to  report  to  a  medical  officer  for  sys- 
tematic'ti'eatment  until  cured.  ^Tiile  in  the  infectious  stages  the  men  should  be 
confined  stiictly  to  the  limits  of  the  post.  When  a  venereal  case,  whether  or  not  on 
sick  report,  is  transferred  to  another  command,  the  surgeon  will  send  a  transfer  slip, 
giving  a  brief  history  of  the  case. 

199.  A  record  will  be  made  on  Form  77  in  the  case  of  every  soldier 
reporting  for  treatment  under  the  provisions  of  section  (a)  of  the  pre- 
ceding paragraph.  This  record  ynM  afterwards  be  authenticated  by 
the  initials  of  a  medical  officer.  It  will  be  considered  confidential 
and  will  not  be  preserved  longer  than  three  months. 

200.  Sypliilis. — To  secure  continuous  observation  and  proper 
treatment  of  every  soldier  and  of  every  general  prisoner  suffering 
from  this  disease,  a  register  of  his  case  will  be  prepared  on  Form  78, 
and  he  will  be  examined  from  time  to  time  until  cured  or  discharged. 

(a)  When  a  soldier  having  this  disease,  v/hether  currently  on  the 
register  of  patients,  Form  52,  or  not,  is  transferred  with  his  command 
or  otherwise  to  a  new  station,  for  duty  or  treatment,  his  original 
syphilitic  register  wdil  be  sent  to  the  surgeon  of  the  soldier's  new 
station  or  command.  (See  also  par.  198f/.)  The  original  syphilitic 
register  so  transferred  will  be  continued  at  the  new  station  con- 
formably to  the  instructions  printed  on  the  form. 

REPORTS   OF  EPIDEMIC  DISEASES. 

201.  On  the  appearance  of  the  fii'st  recognized  case  of  typhoid  fever, 
paratyphoid  fever,  smallpox,  measles,  diphtheria,  cerebrospinal 
meningitis,  or  other  epidemic  disease  at  or  near  a  military  post  or 
station,  the  senior  medical  officer  -will  at  once  report  the  same,  and 
the  nature  and  extent  of  the  epidemic,  so  far  as  it  has  developed,  to 
the  commanding  officer,  sending  at  the  same  time  a  duplicate  report 
direct  to  the  department  surgeon  and  a  triplicate  direct  to  the  Surgeon 
General.  ^  Should  tlie  outbreak  occur  in  a  command  en  route  to  a 
new  station,  whether  by  marching,  by  rail,  or  by  water,  the  medical 
officer  will  make  a  similar  report  in  triplicate,  and  will  in  addition 
send  a  quadruplicate  direct  to  the  surgeon  of  the  new  station. 

202.  The  continuance  of  the  epidemic,  its  progress  and  dechne,  its 
origin  or  importation,  the  measures  taken:  for  its  suppression,  the 
number  of  cases,  the  number  of  deaths  and  recoveries,  and  such  other 
information  in  relation  thereto  as  may  be  important  or  interestiQg 
will  be  noted  from  month  to  month  in  the  sanitary  reports,  Form  50. 

203.  The  senior  medical  officer  of  a  military  post  will  promptly 
notify  the  local  board  of  health,  if  there  is  one,  of  all  cases  of  infectious 
disease  occurring  at  the  post  of  which  such  board  would  take  cogni- 
zance were  the  same  to  occux  in  the  community  subject  to  its  super- 
vision. 


ARTICLE  IV.— HOSPITALS  AND  MEDICAL  ATTEND- 
ANCE. 


204.  Except  under  field  conditions,  or  in  tlie  occupation  of  terri- 
tory outside  of  the  continental  limits  of  the  United  States,  but  three 
classes  of  Army  hospitals  are  maintained,  viz,  post  hospitals,  depart- 
ment hospitals,  and  general  hospitals. 

The  several  kinds  of  hospitals  authorized  for  troops  in  the  field  are 
enumerated  and  discussed  in  Part  II  of  this  Manual. 

SERVICE  OF  HOSPITALS,    GENERAL. 

(See  Army  Regulations.) 

205.  Under  this  caption  only  such  regulations  are  given  as  have 
general  application  to  aU  hospitals  of  the  peace  establishment,  while 
those  having  special  apphcation  to  post,  department,  and  general 
hospitals,  respectively,  appear  under  succeeding  headings. 

SICK    CALL. 

206.  Sick  call  is  not  a  suitable  time  for  the  careful  examination  and 
treatment  of  the  sick.  Its  purpose  is  to  determine  as  expeditiously 
as  possible  the  number  of  men  unfit  for  duty,  so  that  the  morning 
report  of  sick  may  be  promptly  sent  to  the  commanding  officer. 

207.  Wlien  an  officer  or  enhsted  man  is  excused  from  duty  on 
account  of  disease  resulting  from  the  intemperate  use  of  drugs  or 
alcoholic  liquors,  or  because  of  incapacity  resulting  from  venereal 
disease  not  contracted  in  the  line  of  duty,  that  fact  will  be  indicated 
by  the  medical  officer  marking  the  daily  sick  report  (Form  339, 
A.  G.  O.),  ''No;  G.  O.  31,  1912,"  in  the  column  headed  "In  line  of 
duty."  The  misconduct  herein  is  such  as  arises  during  the"  soldier's 
service  and  does  not  include  misconduct  occurring  prior  to  entry  into 
the  service  or  prior  to  the  passage  of  the  act  of  August  24,  1912. 
(Sec  Appendix:  Venereal  Diseases.) 

208.  The  surgeon  will  make  such  memoranda  at  sick  call  as  he 
may  deem  necessary  for  his  further  action  in  preparing  his  morning 
report  of  sick. 

(a)  llegistcr  cards  will  also  be  started  at  once  for  all  cases  to  go 
on  the  register  under  paragraph  428. 
7G 


MANUAL   FOE    MEDICAL   DEPAETMENT,    U.    S.    ARMY.  77 

ADMISSION    AXD    DISTRIBUTION    OF    PATIENTS. 

209.  Upon  his  admission  to  hospital  a  patient  will  first  be  taken  to 
the  receiving  ward,  if  there  is  one,  or  to  the  ofiice,  where  his  register 
card  will  be  filled  in  so  far  as  the  data  are  available  at  the  time,  the 
treatment  ward  to  which  he  is  assigned  being  noted  on  the  back 
thereof.  There  will  also  be  entered  on  a  cUnical  record  brief  (Form 
55a)  the  patient's  name,  rank,  organization,  etc.,  the  diagnosis  on 
the  transfer  card,  if  one  has  been  received,  and  the  designation  of  the 
ward  to  which  he  is  assigned.  This  form  will  accompany  the  patient 
to  the  ward  and  wiU  be  the  wardmaster's  authority  for  his  admission 
thereto.  The  diagnosis  of  the  case  will  be  furnished  to  the  office  by 
the  ward  surgeon  with  the  next  morning  report  of  the  ward  (par.  211). 

210.  Patients  will  not  be  transferred  from  one  ward  to  another 
without  the  authority  of  the  commanding  officer  of  the  hospital. 
The  transfer  of  a  case  from  one  ward  to  another  will  be  reported  to 
the  office  with  the  next  ward  m-orning  report  of  the  ward  from  which 
the  case  is  transferred.  All  that  is  necessary  is  to  report  the  patient's 
name,  rank,  company,  and  regiment  or  corps,  and  state  the  fact  that 
he  has  gone  from  one  ward  to  the  other,  designating  them.  No 
special  form  is  provided.  A  memorandum  will  suffice,  or  a  register 
card,  Form  52,  may  be  used.  Upon  the  receipt  at  the  office  of  the 
notice  of  transfer  a  memorandum  thereof  will  be  made  on  the  back 
of  the  register  card,  which  will  thus  always  show  what  w^ard  the 
patient  is  in. 

211.  To  facilitate  and  assure  the  prompt  and  proper  distribution 
of  patients,  each  ward  surgeon  will  every  morning,  immediately  after 
his  morning  round  of  the  ward,  forward  to  the  office  a  morning  report 
of  the  ward  on  Form  72,  which  will  be  accompanied  by  diagnosis  shps 
for  new  admissions,  by  all  change  of  diagnosis  cards,  by  the  chnical 
records  of  all  cases  completed  in  the  ward  or  which  depart  from  the 
ward  otherwise  than  by  transfer  to  another  ward,  and  by  the  notices 
of  cases  transferred  to  other  wards  since  the  preceding  report.  The 
ward  morning  reports,  being  of  no  permanent  value,  may  be  destroyed 
after  they  have  served  their  purpose. 

CHANGE  OF  DIAGNOSIS  CARDS. 

212.  When  the  diagnosis  of  a  case  under  treatment  in  ward  is 
changed,  or  comphcations  or  sequelae  develop,  a  report  thereof  should 
be  made  to  the  office  upon  a  register  card,  marking  it  in  red  ink 
''Change  of  diagnosis,"  and  forwarding  it  with  the  next  vvard  morning 
report. 

(a)  When  the  diagnosis  of  a  case  under  treatment  in  quarters  is 
changed,  or  comphcations  or  sequelse  develop,  a  report  thereof  upon 
a  card  similarly  marked  should  be  forwarded  to  the  office  by  the 
attending  surgeon  within  24  hours. 


78  MANUAL   FOR    MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

213.  The  change  of  diagnosis  card  should  be  signed  or  initialed  by 
the  ward  surgeon  or  the  attending  surgeon  and  be  filed  v/ith  the 
register  card  of  the  case  to  which  it  relates  as  the  voucher  for  the 
correction  of  the  register  card  conformably  to  paragraph  436. 

TRANSFER    OF    PATIENTS. 

214.  Patients  may  be  transferred,  under  proper  military  authority, 
from  one  hospital  or  medical  control  to  another,  for  observation  or  to 
obtain  better  treatment  or  hospital  accommodations. 

216.  In  every  case  of  transfer,  except  those  indicated  in  paragraph 
21 7^,  the  surgeon  of  the  hospital  or  command  from  which  the  patient 
goes  will  make  out  a  transfer  card  on  Form  52 ;  it  should  be  headed 
"Transfer  card,"  be  a  duplicate  of  the  patient's  register  card,  includ- 
ing the  information  thereon  in  space  18  (except  that  it  should  also 
contain  such  details  of  the  case  as  will  probably  bo  of  value  to  the 
receiving  officer),  and  be  signed  by  the  transferring  officer.  The 
transfer  card  of  a  patient  sent  to  a  general  hospital  for  observation 
and  treatment,  except  those  indicated  in  paragraph  217^,  should,  in 
time  of  peace  and  when  practicable  in  time  of  war,  be  accompanied 
by  a  cop3^  of  the  essential  part  of  the  clinical  record  of  his  case. 

(a)  When  more  space  is  required  to  perfect  entries  on  the  transfer 
card  an  extension  slip  should  be  used  in  the  manner  pointed  out  in 
paragraph  434a.     (C.  M.  M.  D.,  No.  6.) 

216.  The  transfer  card  will  in  ordinary  transfers  be  sent  to  the 
surgeon  of  the  receiving  hospital  or  command;  but  in  transfers  to  the 
Government  Hospital  for  the  Insane  it  will  be  sent  to  the  Surgeon 
General,  with  a  copy  attached  of  the  medical  certificate  requii'ed  by 
the  Department  of  the  Interior.  (See  Army  Kegulations:  Govern- 
wient  Hospital  for  the  Insane.) 

(a)  If  the  patient  is  to  be  unattended  en  route,  the  transfer  card 
may  be  transmitted  in  his  care,  or  by  mail,  at  the  discretion  of  the 
transferring  officer.  If  the  patient  is  to  be  under  the  charge  en 
route  of  an  officer  or  soldier,  the  card  will  be  transmitted  through 
the  officer  or  soldier  so  in  charge. 

(b)  When  many  patients  arc  transferred  at  one  time  under  the 
charge  of  an  officer  or  soldier  en  route,  the  transfer  cards  will  be 
verified  personally  by  such  officer  or  soldier,  or  when  the  number 
transferred  is  too  great  for  personal  verification,  by  his  subordinates 
or  assistants.     (See  also  pars,  583  and  584.) 

217.  The  surgeon  of  the  receiving  hospital  or  command  will  note 
on  the  back  of  the  transfer  card  the  fact  and  date  of  the  arrival  of 
the  patient  at  his  station  and  forward  the  card  with  his  next  report 
of  sick  and  wounded.  The  surgeon  of  the  receiving  hospital  or  com- 
mand will  make  a  register  card,  Foi-m  52,  of  the  case  (see  par.  428), 


MANUAL  FOR  MEDICAL  DEPARTMENT,   U.   S.   ARMY.  79 

noting  thereon  such  of  the  information  conveyed  by  the  transfer  card 
as  is  pertinent. 

(a)  Should  the  patient  named  on  a  transfer  card  transmitted  by 
mail  not  arrive  at  the  receiving  hospital  within  a  reasonable  time,  the 
surgeon  thereof  will  note  on  the  back  of  the  card  the  fact  that  the 
patient  did  not  arrive,  and  forward  the  card  with  his  next  report  of 
sick  and  womided. 

217^.  ^Vlien  patients  who  are  not  on  the  register  (par.  428)  of  a 
command  which  has  no  hospital  and  habitually  sends  its  hospital 
cases  to  a  hospital  in  the  near  vicinity  are  transferred  from  the  com- 
mand to  such  hospital;  transfer  cards  will  not  be  prepared.  In  lieu 
thereof  an  informal  memorandum,  giving  the  name,  rank,  and  or- 
ganization of  each  such  patient,  signed  by  the  surgeon  of  the  com- 
mand whence  they  are  transferred,  will  be  furnished  at  once  to  the 
surgeon  of  the  receiving  hospital.  Should  any  of  them  not  report  to 
the  receiving  hospital  the  surgeon  thereof  will  so  advise  their  com- 
pany commanders.     (T.  31.  M.  D.,  Xo.  6.) 

DEATHS. 

218.  Whenever  the  death  of  an  officer,  enlisted  man,  or  civilian 
employee  occurs  at  a  military  post  or  station,  or  with  a  command  in 
the  field,  the  senior  medical  officer  present  will  immediately  report  in 
writing  to  the  commanding  officer,  of  such  military  post  or  station  or 
command  in  the  field  the  name  of  the  deceased,  with  rank  and  organi- 
zation if  he  was  an  officer  or  enlisted  man,  or  the  department  and 
capacity  in  which  he  was  employed  if  he  was  a  civilian  employee,  the 
date,  time,  place,  and  cause  of  death,  and  the  present  location  of  the 
body. 

219.  The  death  of  a  medical  officer,  dental  surgeon,  acting  dental 
surgeon,  contract  surgeon,  or  sergeant  first  class,  Hospital  Corps,  will 
be  immediately  reported  by  the  attending  surgeon  or  nearest  medical 
officer  direct  to  the  department  surgeon.  A  duplicate  of  the  report 
will  be  sent  direct  to  the  Surgeon  General. 

Note. — Other  reports  and  procedures  regarding  deceased  officers  and  deceased  sol- 
diers are  prescribed  in  Army  Eegiilations. 

REFUSAL    OF    SURGICAL    TREATMENT. 

220.  An  enfisted  man  who  refuses  to  submit  to  a  surgical  operation 
that  the  attending  surgeon  certifies  is  without  appreciable  risk  to  the 
life  of  the  soldier  and  is  necessary  for  the  removal  of  a  disability  that 
prevents  the  full  performance  of  any  and  all  military  duties  that 
properly  can  be  required  of  the  soldier  will,  for  such  refusal,  be  brought 
to  trial  by  general  eourt-martial  under  charges  preferred  mider  the 
sixtj^-second  article  of  war;  but  if  in  any  such  cace  the  attending  sur- 


80  MANUAL  FOR   MEDICAL  DEPARTMENT^   U.    S.   AEMY. 

geon  is  in  doubt  as  to  whether  the  proposed  operation  involves  appre- 
ciable risk  to  life  the  soldier  will  not  be  brought  to  trial,  but  will  be 
discharged  on  certificate  of  disability. 

(a)  When  an  enlisted  man  is  to  be  brought  to  trial  for  the  offense 
named  in  this  paragraph  the  surgeon  will  furnish  the  required  cer- 
tificate. 

EFFECTS    OF   PATIENTS. 

221.  The  commanding  officer  of  the  hospital  is  responsible  that 
due  care  is  observed  in  safeguarding  the  money,  valuables,  clothing, 
and  other  effects  of  patients  admitted  to  hospital.  Money  or  other 
valuables  will  be  receipted  for  by  the  commanding  officer  or  by  an 
officer  designated  by  him,  and,  when  practicable,  deposited  in  the 
hospital  safe  or  in  a  bank.  -  Enlisted  men  are  forbidden  to  retain 
money  or  other  valuables  received  from  patients  for  safe-keeping. 

(a)  In  the  presence  of  the  patient,  or  of  another  enlisted  man  in 
case  the  patient  is  unconscious  or  insane,  his  clothing  and  other 
effects  will  be  tagged  (Form  76)  for  identification  and  listed  in  dupli- 
cate on  the  patient's  property  card  (Form  75).  This  list  with  the 
effects  will  then  be  sent  to  the  individual  in  charge  of  the  storeroom 
for  patients'  effects.  He  will  retain  the  original  list  and  turn  the 
duplicate  in  to  the  record  office,  or  give  it  to  the  patient  as  the  regu- 
lations of  the  hospital  may  provide.  In  the  smaller  hospitals  the 
duty  of  caring  for  patients'  effects  as  outlined  above  will  devolve 
upon  the  wardmaster;  in  general  or  other  large  hospitals  it  will  be 
performed  as  directed  in  paragraph  303. 

222.  The  soiled  clothing  of  patients  will  be  washed,  before  it  is 
put  away,  as  a  part  of  the  hospital  laundry  (par.  267).  \Vhen  there 
is  reason  to  suspect  that  the  clothing  is  infected  such  measures  of 
disinfection  as  may  be  necessary  to  protect  the  command  will  be 
taken  and  accounts  for  the  expenses  incident  thereto  will  be  for- 
warded on  Form  33Q,  W.  D.,  for  settlement,  with  an  explanation  of 
the  circumstances. 

223.  Wlien  the  patient  goes  to  duty,  is  furloughed,  or  is  discharged 
from  the  service  the  surgeon  will  restore  his  effects  and  take  his 
receipt. 

224.  Wlien  the  patient  is  transferred  from  a  hospital  his  eft'ects 
will,  if  he  is  able  to  take  care  of  them,  be  restored  to  him.  When 
he  is  unable  to  take  care  of  them,  they  will  be  intrusted  to  the  rank- 
ing officer  or  soldier  in  whose  charge  the  patient  is  put.  A  list  of 
the  effects  will  be  furnished  to  such  ranking  oflicer  or  soldier,  who 
will  give  his  receipt  therefor  to  the  transferring  officer.  On  arrival 
at  destination  said  custodian  of  the  effects  in  transit  will  turn  them 
over,  with  the  list,  to  the  commanding  officer  of  tlie  receiving  hospital, 
and  take  his  receipt  therefor. 


MAINUAL   FOE    MEDICAL   DEPARTMENT^   U.    S.   ARMY.  81 

225.  Ill  the  event  of  the  death  or  desertion  of  enKsted  or  commis- 
sioned patients  or  of  miUtary  prisoners  in  hospital,  their  effects  will 
be  disposed  of  in  accordance  with  the  provisions  of  Army  Regulations. 

226.  The  effects  of  deceased  civilian  patients,  if  claimed  within  a 
reasonable  time,  will  be  delivered  to  their  legal  representatives.  If 
not  claimed  within  a  reasonable  time,  they  will  be  sold  by  the  hos- 
pital council  and  the  proceeds  taken  up  and  accounted  for  Avith  the 
hospital  fund.  Should  claim  thereafter  be  made  mthin  three  years 
for  the  proceeds,  the  same  may  on  the  authority  of  the  Surgeon  Gen- 
eral be  paid  over  to  the  legal  representatives  of  the  deceased.  A 
similar  procedure  will  be  followed  in  the  case  of  effects  abandoned  by 
civilian  patients  upon  their  departure  from  the  hospital.  Watches, 
trinkets,  personal  papers,  and  keepsakes  of  civilians  will  not  be  dis- 
posed of  as  long  as  there  is  a  fair  prospect  of  finding  their  rightful 
owners. 

PUBLIC    PROPERTY    IX    THE    POSSESSIOX    OF   PATIENTS. 

227.  Public  property  brought  into  the  pospital  by  the  patient  will 
also  be  listed  in  duplicate  on  his  property  card.  Form  75.  If  his 
disability  is  so  slight  as  to  require  treatment  for  a  few  days  only, 
the  property  will  be  kept  mtact,  tagged,  and  restored  to  him  upon 
his  return  to  duty,  takmg  his  receipt  therefor;  otherwise,  it  will, 
if  practicable,  be  turned  over  at  once  to  his  commanding  officer, 
whose  receipt  should  be  obtained.  If  such  transfer  is  not  practicable, 
the  followmg  action  will  be  had:  (1)  The  medical  officer  will  take 
up  on  his  return  the  medical  property  in  the  soldier's  possession  and 
forward  his  receipt  therefor  to  the  accountable  officer;  (2)  if  the 
"medical  officer  is  accountable  for  quartermaster  or  ordnance  prop- 
erty, he  will  take  up  on  his  quartermaster  or  ordnance  papers  aU 
property  bclongmg  to  those  departments  brought  in  by  the  patient; 
otherwise  he  will  transfer  such  property  to  the  nearest  representa- 
tives of  those  departments,  whose  receipts  therefor  should  be  obtained ; 
(3)  the  patient's  commanding  officer  will  be  immediately  notified  by 
mail  of  the  action  taken  under  (1)  and  (2).  (See  also  pars.  640  and 
649.) 

228.  Hospital  clothmg  will  be  worn  b}^  patients  only  during  their 
stay  in  hospital.  Each  article  will  be  marked  as  hospital  property. 
When  very  sick  soldiers  are  transferred  from  one  hospital  to  another 
the  hospital  clothing  necessary  for  then*  comfort  may  be  sent  with 
them,  properly  invoiced,  and  accompanied  by  a  check  list,  givmg  the 
names  of  the  men  in  whose  possession  it  is.  Under  the- provisions  of 
this  paragraph,  crutches  and  simxilar  articles  may,  if  necessary,  bo 
similarly  transferred  with  the  patient  from  one  post  Or  hospital  to 
another.     (See  pars.  496  et  seq.) 

70156°— 18 — -6 


82  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    B.    ARMY. 

229.  Upon  the  discliarge  from  service  of  men  permiinently  disa- 
bled, they  may  retam  the  surgical  appliances  then  m  their  use  which 
arc  necessary  for  their  comfort  and  safety,  and  the  accountable  officer 
will  drop  the  same  from  his  next  return  of  metlical  property,  submit- 
ting a  certificate  explainuig  the  chcumstances  as  a  voucher  for  so 
doing. 

DESTRUCTION  OF  INFECTED  PROPERTY. 

230.  Infected  clothmg  and  other  articles  which  can  be  immersed  in 
boiling  water,  or  otherwise  disinfected,  without  material  injury, 
should  be  dismfected  and  not  burned.  Articles  destroyed  to  prevent 
contagion  must  be  accounted  for  by  the  affidavit  of  the  officer  respon- 
sible, setting  forth  fully  the  circumstances  necessitatmg  such  destruc- 
tion.    (See  par.  502.) 

MESS   MANAGEMENT. 

231.  The  food  supplies  for  the  .hospital  personnel  and  patients 
consist  of  rations  issued  by  the  Quartermaster  Corps,  of  articles  pur- 
chased with  or  derived  from  the  hospital  fund  (see  pars.  248  to  262), 
and  of  products  of  the  hospital  garden. 

232.  Wlien,  under  the  conditions  usually  prevailmg  at  any  post, 
camp,  or  station,  or  with  any  command,  the  commutation  of  the 
rations  of  the  sick  in  hospital  and  the  members  of  the  Nurse  Corps 
on  duty  therein  would  not  be  sufficient  for  the  purchase  of  suitable 
food,  tiie  surgeon  should  make  application  through  military  channels 
to  The  Adjutant  General  of  the  Ai-my  for  the  issue  of  rations  in  kind. 

233.  The  provisions  of  Army  Regulations  relating  to  company 
messes  will  be  applied  as  far  as  they  are  adaptable  to  hospital  messes. 

234.  The  commanding  officer  of  the  hospital  will  maintain  con- 
stant watchfulness  over  the  messes.  He  should  regard  himself  as 
trustee  for  the  men  and  nurses  to  whom,  collectively,  the  rations  and 
hospital  fund  belong,  and  should  exercise  every  precaution  to  prevent 
peculation  and  abuses  at  their  cost.  On  account  of  the  large  cash 
transactions  incident  to  the  conduct  of  hospital  messes,  and  the 
opportunities  afforded  by  them  for  nregular  and  dishonest  practices 
he  should  take  the  most  painstaking  care  when  detailing  enlisted 
men  to  mess  management  to  choose  only  those  of  known  probity 
and  good  habits.  For  the  same  reason  he  should  see  that  the 
creditors  with  whom  the  mess  deals  are  of  good  repute  and  as  few 
as  possible,  and  require  their  bills  to  be  settled  promptly  at  the  end 
of  every  month.  In  large  hospitals  he  may  ])ut  the  messes  under 
the  supervision  of  a  junior  officer;  but  even  hi  that  case  he  should 
by  frequent  inspections  see  that  waste  or  wrongful  diversion  of 
supi)lies  or  funds  is  not  permitted,  and  that  the  messes  are  so  managed 
that  neither  patients  nor  i)ersonnol  shall  have  just  grounds  of  com- 
plaint of  the  character  or  quantity  of  their  food. 


MANUAL  FOR   MEDICAL  DEPAETMEXT,   U.    S.   AKMY.  83 

235.  Each  ward  surgeon  will,  every  morning  immediatel}-  after 
the  &st  round  of  his  ward,  fdl  out  a  diet  card,  Form  73,- covering  the 
diet  requirements  of  his  patients  for  the  ensuing  24  hours.  Bills  of 
fare  for  regular,  light,  and  liquid  diets  should  be  made  out  and  posted 
in  the  wards  and  kitchens.  Additional  articles  not  included  in  these 
diets  are  to  be  ordered  for  special  cases  onlv. 

(a)  The  diet  cards  from  the  wards  will  be  "sent  promptly  to  the 
hospital  office,  where  the  necessary  card  or  cards  will  be  made  out 
covering  the  meals  of  the  hospital  personnel.  All  the  cards  will 
thereupon  be  turned  over  to  the  noncommissioned  officer  in  charge 
of  the  mess  in  season  for  his  action  toward  the  preparation  of  the  day's 
dinner.  A^dditional  cards  for  newly  admitted  patients  or  newly 
arrived  personnel  will  be  made  out  promptly  when  necessary  and  sent 
to  the  noncommissioned  officer  in  charge  of  the  mess  without  delay. 
The  diet  cards  may  be  destroyed  after  they  have  served  then-  pm- 
pose;  usually  they  will  have  no  value  beyond  the  day  of  their  date 
and  the  following  day. 

236.  Each  hospital  mess  will  be  placed  under  the  immediate 
charge  of  a  competent  noncommissioned  officer. 

(a)  It  win  be  his  duty  to  receive  and  care  for  all  articles  of  food 
for  the  mess,  and  he  will  be  held  responsible  for  their  proper  dis- 
position. He  should  be  provided  with  suitable  apparatus  for  pre- 
serving perishable  foods  and  a  suitable  storeroom  for  the  balance, 
and  should  secure  them  by  proper  locks.  He  will  issue  daily  from 
the  stores  to  the  kitchen  the  articles  reciuired  by  the  diet  cards  and 
■wiM  see  that  the  food  is  cooked  as  indicated  thereon.  He  will  keep 
such  record  of  his  receipts  and  issues  as  the  surgeon  may  prescribe 
according  to  the  needs  of  the  particular  hospital,  no  special  form  there- 
for being  provided.  He  will  be  responsible  for  the  condition  and  clean- 
liness of  the  kitchen  and  cooking  utensils,  and  the  kitchen  force  will 
respect  his  orders  accordingly.  He  wtU  be  responsible  also  for  the 
cleanliness  and  discipline  of  the  messroom,  the  service  of  the  meals 
therein,  and  the  distribution  of  food  to  wardmasters  for  patients 
unable  to  leave  the  wards;  and  for  the  cleanliness  of  the  napery  and 
table  utensils  used  in  serving  the  food.  He  will  see  that  table  clothing 
and  utensils  used  for  patients  suffering  from  infectious  disease  are 
properly  dismfected  before  being  returned  to  the  storerooms  for 
further  use.  He  will  be  provided  with  a  sufficient  niunber  of  assistants 
to  assure  the  prompt  and  efficient  performance  of  these  duties. 

237.  A  mess  account  on  Form  74  will  be  kept  by  the  noncommis- 
sioned officer  in  charge.  It  should  be  filed  at  the  end  of  every  month 
with  the  retained  hospital  fund  papers  for  that  month.  Inordhiate 
gains  in  the  plus  colmnn  would  indicate  undue  economy  in  the  diet, 
while,  on  the  other  hand,  continual  losses  in  the  minus  column  would 
signify  mismanagement  of  the  hospital  fund  or  improper  care  of  the 


84  MANUAL  rOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

food  supplies.  '  The  commanding  officer  of  the  hospital  should  inspect 
this  record  at  frequent  intervals,  Math  a  view  to  keeping  constantly 
i^ormed  in  this  respect. 

(a)  When  there  is  more  than  one  mess^  a  consolidated  mess  account 
on  the  same  form  for  the  entire  hospital  should  be  kept  in  the  office, 
the  noncommissioned  officers  in  charge  of  the  several  messes  being 
required  to  report  daily  the  data  therefor. 

238.  For  methods  of  preparing  food  for  both  sick  and  well,  reference 
should  be  had  to  the  authorized  Handbook  for  the  Hospital  Corps 
and  the  Manual  for  Army  Cooks. 

239.  ^Vlien  the  number  of  sick  requiring  special  diet  is  large,  the 
commanding  officer  of  the  hospital  may  establish  one  or  more  diet 
kitchens  for  the  preparation  of  their  food,  under  the  inmiediate 
direction  of  such  skilled  dietists  as  are  available.  Competent  dietists 
belongmg  to  the  Nurse  Corps  may  be  assigned  to  this  duty.  Rules 
for  the  management  of  diet  kitchens  will  be  prescribed  by  the  com- 
manding officer  of  the  hospital  according  to  the  particular  needs  of 
each  case. 

DISPENSARY   MANAGEMENT. 

240.  All  prescriptions  will  be  written  in  the  metric  system.  They 
will  be  placed  on  file  in  three  separate  files,  as  follov/s:  (1)  Pre- 
scriptions for  alcohol  or  alcoholic  liquors  and  for  medicmes  con- 
tainmg  opium  or  any  of  the  salts,  derivatives,  or  preparations  of 
opium  or  coca  leaves.  (2)  Prescriptions  for  civilians  v.diich  do  not 
include  articles  of  the  preceding  class.  (3)  All  other  prescriptions. 
Prescription  files  will  be  subject  to  inspection  by  inspectors  and  post 
commanders  at  all  times. 

(a)  In  connection  with  hie  (1)  a  record  will  be  kept  of  the  dis- 
pensary receipts  and  expenditures  of  each  article  specified  therem. 
Unless  otherwisTB  authorized  by  the  Surgeon  General,  this  record 
will  be  made  on  blanks  of  Form  17a,  adapted  as  may  be  necessary 
to  the  purpose.  A  separate  slip  will  be  kept  for  each  form  in  which 
the  liquor  or  drug  is  supplied,  as  "Morphina3  sulphas,  powder"  or 
"Morphmte  sulphas,  10-mgm.  hypo,  tablets."  The  date  of  receipt 
thereof  from  the  storeroom  will  be  noted  in  the  left-hand  column 
and  the  amount,  in  the  proper  metric  unit,  in  tlie  debit  column. 
The  expenditures  will  be  noted  by  entering  the  prescrij)tion  number 
in  the  left-hand  column  and  the  amount  expended  in  compounding 
the  prescri])tion  in  the  credit  column.  At  least  once  a  month  the 
slips  will  be  balanced  and  the  quantities  remaining  on  hand  wiU  be 
verified  by  a  medical  officer  and  the  facts  noted  over  his  signature. 

241.  Active  poisons,  alcohol,  alcoholic  li([Uors,  and  all  habit- 
forming  drugs  will  be  kept  under  lock  and  key  in  a  separate  closet. 

242.  Civilian  cmj)lv)3'cos  of  tlie  Army  stationed  at  military  })Osts 
may  purchase  medical  supplies  when  prescribed  by  a  medical  officer. 


MANUAL  rOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY.  85 

(fl)  Medicine  charges  for  employees  not  in  hospital  will  be  as 
follows:  In  ordinary  cases,  25  cents  for  each  prescription;  in  the  case 
of  rare  and  expensive  medicines,  dressings,  apphances,  etc.,  at  such 
increased  rate,  to  be  determined  by  the  surgeon,  as  will  reimburse  the 
United  States  their  cost. 

(b)  Medicine  charges  for  civilian  employees  in  hospital  are  fixed 
at  25  cents  a  day  in  Army  Regulations. 

2424.  Civilians  emploj^ed  by  the  United  States  who  are  injured  in 
the  performance  of  duty  are  entitled  under  the  law  of  September  7, 
1916,  to  gratuitous  treatment  in  United  States  hospitals  for  a  reason- 
able time.  No  charge  will  be  collected  from  the  employees  for  medi- 
cines, dressings,  appliances,  etc.,  furnished  from  Army  dispensaries 
in  such  cases ;  but  at  the  end  of  the  month  bills  therefor  (unless  they 
are  employees  of  the  Ai^my  and  their  medical  care  during  such  em- 
ployment has  been  assumed  by  the  Army  as  a  part  of  their  compen- 
sation) will  be  mailed  direct  to  the  United  States  Employees'  Com- 
pensation Commission,  Washington,  D.  C,  and  the  amounts  collected 
thereon  be  accounted  for  in  the  usual  way.      {0.  M.  M.  D.  No.  8.) 

243.  The  responsible  officer  will  at  the  end  of  each  month,  mthout 
delay,  deposit  the  net  amount  collected  during  the  month  with  the 
nearest  United  States  depositary,  to  the  credit  of  the  Treasurer  of 
the  United  States  under  the  special  fund  ''Replacing  medical  sup- 
plies" for  the  proper  two-year  period  or  periods.  (See  par.  510.) 
The  net  amount  collected  is  the  gross  amount  collected,  less  the 
expenses  of  deposit,  if  any,  such  as  the  cost  of  a  money  order  to 
make  remittance  to  a  depositary  at  a  distance.  Immediately  upon 
making  a  deposit  or  a  remittance  to  a  depositary  the  responsible 
officer  will  notify  the  Surgeon  General  by  letter  direct  that  he  has 
done  so,  stating  expressly  the  source  from  which  the  moneys  arose, 
to  wit,  "Proceeds  of  sales  of  medicines  to  civilians,"  and  specifying 
not  only  the  period  during  which  the  proceeds  were  collected,  but  also 
the  inclusive  dates  during  which  the  sales  were  made,  i.  e.,  during 
which  the  medicines  were  furnished.  If  the  collections  during  any 
month  cover  medicines  furnished  during  parts  of  two  fiscal  years  (as, 
for  example,  collections  during  July  for  medicines  furnished  during 
June  and  July),  the  notification  will  show  clearly  how  much  of  the 
amount  deposited  was  for  medicines  furnished  in  each  of  the  two  years. 

(a)  The  proceeds  of  the  sales  will  be  accounted  for  in  the  manner 
required  by  paragraph  509a  of  this  Manual. 

244.  At  isolated  posts  where  issues  to  civilians  become  necessary 
to  save  life  or  prevent  extreme  suffering,  medical  officers  will  make 
such  issues,  and  at  the  end  of  each  month  will  report  the  circum- 
stances to  the  Surgeon  General,  or  in  the  Philippine  Departmeht  to 
the  department  surgeon.  Unless  the  patient  is  destitute,  charges 
will  be  made  and  the  proceeds  disposed  of  and  accounted  for  as  in 
the  case  of  employees. 


86  MANUAL   FOR    MEDICAL   DEPARTMENT^   U.    S.   ARMY. 

HOSPITAL    BUILDINGS. 

245.  Whon  an  allotment  of  funds  for  the  repair  of  a  hospital  or 
quarters  of  a  sergeant  first  class  has  been  made  the  surgeon  will  be 
notified  of  the  action  by  letter  from  the  Surgeon  General,  through  the 
department  surgeon,  the  receipt  of  which  will  be  acknowledged  by- 
return  mail.  Estimates  and  other  papers  referring  to  a  hospital  must 
be  i3repared  separately  from  those  for  quarters  of  a  sergeant  first  class. 
On  the  last  day  of  each  month,  until  the  work  is  completed  and  so 
reported,  the  surgeon  will  advise  the  Surgeon  General,  through  the 
department  surgeon,  of  the  progress  affected,  or,  if  none,  the  cause  of 
the  delay,  so  far  as  he  can  ascertain  it. 

246.  The  painting  of  new  hospital  floors  is  prohibited.  They  may 
be  finished  in  oil  and  paraffin,  or  oil,  wax,  turpentine,  etc.,  to  which 
coloring  matter  maybe  added  if  deemed  necessary.  Floors  of  verandas 
and  porches  should  be  protected  by  paint 

HOSPITAL    SAFE. 

247.  Knowledge  of  the  combination  of  the  lock  of  the  hospital  safe 
will  be  guarded  with  the  utmost  care.  Any  change  in  the  combi- 
nation will  be  immediately  reported  by  confidential  letter  direct  to 
the  Surgeon  General,  or  in  the  Philippine  Department  direct  to  the 
department  surgeon,  identifying  the  safe  by  its  make  and  number. 

HOSPITAL    FUND. 

248.  The  hospital  fund  is  derived — 

(1)  From  commutation  of  rations  of  patients  and  members  of  the 
Nurse  Corps. 

(2)  From  savings  on  rations  of  the  Hospital  Corps. 

(3)  From  dividends  from  post  exchange. 

(4)  From  dividends  from  post  garden. 

(5)  From  money  received  for  the  subsistence  of  officers  and  civil- 
ians treated  in  hospital. 

(6)  From  sales  of  property  purchased  with  hospital  fund  (par.  259), 
or  products  pertaining  to  the  hospital  fund  (vegetables  from  hospital 
garden,  etc.). 

249.  In  addition  to  the  post  exchange  dividends  due  the  liospital 
detaciiment,  the  exchange  council,  with  the  approval  of  the  command- 
ing officer,  shall  determine  the  amount,  if  any,  to  be  turned  over  to 
the  surgeon  for  the  sick  in  hospital.  (See  Appendix:  Post  Exchange 
Ihgulations.) 

260.  Seamen  in  the  Army  Transport  Service  who  have  signed  ship- 
ping Articles  entitling  them  to  medical  treatment  at  the  cost  of  the 
United  States,  and  have  been  placed  in  hospital  by  proper  authority* 
are  entitled  to  subsistence,  medicines,  and  medical  attendance  while 


MANUAL   FOE    MEDICAL   DEPARTMENT^   L',    S.    ARMY.  87 

in  hospital.     The  cost  of  subsistence  will  l)e  reimbursed  to  the  hos- 
pital fund  out  of  the  medical  and  hospital  appropriation. 

(a)  Vouchers  adapted  to  the  facts  in  each  case  and  stated  in  favor 
of  the  hospital  fund  as  follows,  on  Form  330,  W.  D.,  will  be  foi-warded 
from  time  to  time  for  the  action  of  the  department  surgeon: 

For  subsistence  of  John  Doe,  a  ci\dlian  employee  of  the  U.  S.  A.  T.  Sherman,  while 

■under  treatment  in Hospital, — -,  January  1  to  11,  1913,  on  the  footing  of 

an  enlisted  man,  11  days,  at  40  cents  a  day. 

Above-named  man  had  signed  the  usual  shipping  articles  for  a  voyage,  entitling  him 
to  medical  cai'e  when  sick,  and  his  term  of  service  had  not  expired  prior  to  the  last 
date  for  which  subsistence  is  charged  in  this  account. 

Payment  by  authority  of  Secretary  of  War,  June  1,  1912  (1906208,  A.  G.  0.-141964, 
S.  G.  O.). 

(b)  The  certificate  to  the  correctness  of  the  bill  will  be  signed  in  the 
name  of  the  hospital  fund  (designating  the  hospital  to  which  it  per- 
tains) by  the  custodian  thereof,  who  will  sign  his  own  name,  with  rank 
and  designation,  as  custodian. 

The  certificate  that  the  articles  have  been  received,  etc.,  will  be 
signed  by  the  transport  quartermaster,  and  the  statement  will  be 
added  that  the  '^above-named  patient  was  sent  to  the Hos- 
pital by  proper  authority." 

251.  The  hospital  fund  is  regarded  as  a  company  fnnd,  and  is 
applicable  generally  to  similar  purposes,  in  the  interest  of  enlisted 
men  of  the  Hospital  Corps,  and  of  the  sick  under  treatment  and  mem- 
bers of  the  Nurse  Corps  on  duty  in  military  hospitals. 

252.  The  officer  commanding  the  hospital  will  ordinarily  be  the 
custodian  of  the  hospital  fund;  but  %vheii»j^e,feially  authorized  by  the 
Surgeon  General  he  may  turn  it  over  to  a '<!rommissioned  assistant. 

253.  The  custodian  will  be  held  to  a  personal  accountability  for 
the  loss  of  any  portion  of  the  hospital  fund  not  deposited  and  locked 
in  the  hospital  safe  or  deposited  in  a  bank. 

254.  The  officer  commanding  the  hospital  will  see.  that  due  economy 
in  expending  the  fund  is  observed,  and  that  expenditures  are  not 
made  for  improper  purposes.     Receipts  will  be  taken  for  all  payments. 

255.  Gratuities  to  hospital  cooks  and  assistant  cooks  may  be  au- 
thorized by  department  surgeons  or  the  Surgeon  General  when  the 
amount  of  the  hospital  fund  on  hand  justifies  such  expenditure. 

(a)  A  gratuity  of  not  exceeding  $10  a  month  may  be  paid  from  the 
hospital  fund  to  the  hospital  gardener,  when  authorized  by  the  depart- 
ment surgeon  or  the  Surgeon  General. 

(h)  Vouchers  for  gratuities  will  cite  upon  their  face  the  date  and 
source  of  the  authority  for  paying  them. 

256.  The  purchase  from  the  hospital  fund  of  alcohohc  liquors, 
except  for  the  use  of  the  sick  in  hospital,  is  prohibited. 

257.  When  any  part  of  a  detachment  of  the  Hospital  Corps  leaves 
its  post  in  command  of  a  medical  officer  for  service  in  the  field  the 


88  MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

siirgeon  of- the  post  may  turn  over  to  such  officer  an  equitable  pro- 
portion of  the  hospital  fund  on  hand  for  the  use  of  the  detachment 
taking  the  field. 

(a)  Necessary  transfers  of  the  hospital  fund  from  one  post  to 
another  in  the  department  may  be  authorized  by  the  department 
surgeon,  but  transfers  of  funds  from  one  department  to  another, 
except  as  provided  in  the  first  part  of  this  paragraph,  will  be  made  by 
order  of  the  Surgeon  General  only. 

258.  The  hospital  fund  will  be  audited  by  the  hospital  council 
at  the  end  of  every  month  and  when  the  custodian  is  relieved  from 
its  custody. 

•  (rt)  The  proceedings  of  the  council  required  by  Army  Regulations 
will  be  recorded  on  the  retained  statement  of  the  hospital  fund. 
(See  Appendix:  Hospital  Fund.) 

259.  Articles  of  durable  property  purchased  with  the  hospital 
fund  v^-ill  be  kept  for  the  benefit  of  the  sick,  the  enlisted  men  of  the 
Hospital  Corps,  and  the  members  of  the  Nurse  Corps  by  the  officer 
charged  with  the  custody  of  the  fund.  When  the  same  become 
worn  out  or  unfit  for  use  they  may  be  dropped,  destroj^ed,  or  sold 
by  authority  of  the  department  surgeon  or  of  the  Surgeon  General. 
Applications  for  authority  to  drop,  destroy,  or  sell  durable  articles 
should  recite  their  exact  condition  and  the  length  of  time  they  have 
been  in  use.  The  proceeds  of  sales  of  such  property  revert  to  the 
hospital  fund. 

260.  Within  five  days  after  its  audit  the  custodian  will  forward 
a  statement  of  the  fun4)«^  return  of  durable  property  on  Form  49 
to  the  department  surgeon,  or  in  the  case  of  a  post  or  command  under 
the  immediate  supervision  of  the  War  Department  to  the  Surgeon 
General.  The  department  surgeon  will  take  such  action  on  the  state- 
ment and  return  as  he  may  deem  appropriate,  and  forward  it  to  the 
Surgeon  General.  .  (('.  M.  21.  D.  No.  7.) 

261.  Invoices  and  receipts  for  hospital  fund  or  hospital  fund 
property  transferred  will  not  be  required;  but  upon  the  complete 
transfer  of  fund  and  property  from  one  custodian  to  another  the 
new  custodian  will  acknowledge  the  receipt  thereof  by  entry  over  his 
signature  across  the  face  of  the  former  custodian's  final  statement 
and  return, 

262.  A  duphcate  of  each  statement  and  return  will  bo  filed  with 
the  retained  records  of  the  hospital. 

ICE    FOR    HOSPITALS. 

263.  The  chief  use  of  ice  in  hospitals  is  as  an  article  of  food  or  for 
the  preservation  of  food.  For  such  use  it  should  be  obtained  from 
the  Quartermaster  Corps,  from  the  ice  plant,  if  one  is  available,  as 
provided  in  existing  orders  (see  Appendix:  Ice);  or  as  an  issue  under 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY.  89 

Arpiy  Regulations,  whon  autlioiized;  or  l)}^  purcliasc  from  the  hos- 
pital fund. 

264.  Ice  required  for  medical  administration  proper,  such  as  for 
ice  baths  of  the  sick,  for  m^edical  photographic  work,  etc.,  should  be 
•procured  from  the  Quartermaster  Corps  ice  machine,  if  one  is  avail- 
able, or  be  obtained  by  purchase  at  the  cost  of  the  medical  and  hos- 
pital appropriation.  Routine  purchases  of  ice  for  medical  purposes 
will  not  be  made  without  the  previous  authority  of  the  Surgeon 
General,  or,  in  the  PhiliiDpine  Department,  of  the  department  sur- 
geon. Accounts  for  emergency  purchases  will  invariably  be  accom- 
panied by  a  separate  statement  of  their  necessity.  Accounts  for 
ice  for  medical  work  will  be  stated  on  Form  330  or  Form  330(7,  W. 
D.,  will  show  in  the  officer's  certificate  (taking  care  not  to  encroach 
upon  the  approval  space  to  the  right  of  the  $  sign)  or  on  the  blank 
fold  on  the  back  of  the  form,  specifically  what  the  ice  was  for— as, 
e.  g.,  for  use  in  the  treatment  of  sick  in  hospital,  for  use  in  develop- 
ing photographic  negatives  for  identification  work,  etc. — and  will  be 
forwarded,  with  one  invoice  of  articles  purchased,  Form  12,  to  the 
department  surgeon,  or  if  from  a  command  under  the  immediate 
supervision  of  the  War  Department,  to  the  Surgeon  General,  unless 
otherwise  directed  by  him. 

HOSPITAL    MATRONS. 

266.  Authority  for  the  employment  of  hospital  matrons  is  given  by 
section  1239,  Revised  Statutes.  Their  compensation  of  $10  a  month 
and  a  ration  in  kind  or  by  commutation  is  established  by  sections 
1277  and  1295. 

266.  It  is  the  duty  of  the  hospital  matron  to  mend  and  keep  in 
repair  the  table,  hand,  and  operating  linen,  the  bedding  and  the 
hospital  clothing  belonging  to  the  Medical  Department,  including  the 
linen  of  the  dentist's  office,  and  to  do  the  hospital  laundry,  or  so 
much  thereof  as  possible  up  to  a  minimum  of  500  pieces  a  month, 
from  time  to  time,  as  the  same  may  be  required  by  the  surgeon. 

(a)  In  the  case  of  matrons  on  duty  at  the  larger  posts  and  at 
general  hospitals  the  Surgeon  General  may  modify  or  waive  so  much 
of  this  provision  as  requires  the  laundering  of  a  minimum  of  500 
pieces  of  hospital  linen  a  month  in  addition  to  all  the  mending. 

267.  The  hospital  laundry  comprises:  First,  the  linen,  clothing, 
and  bedding  belonging  to  the  Medical  Department,  as  above  enu- 
merated ;  second,  the  washable  clothing  of  patients  admitted  to  hos- 
pital, which  requires  cleansing  before  it  can  be  put  away  (par.  222) ; 
third,  the  white  coats  and  trousers  of  the  enlisted  attendants  (par. 
4:7a);  fourth,  the  uniforms  (par.  93)  of  the  Nurse  Corps  soiled  while 
on  public  duty. 


90  MANUAL  FOR   MEDICAL   DEPARTMENT^   U.   S.    ARMY. 

(a)  Soiled  blankets,  spreads,  and  other  heavy  pieces  should  not  be 
allowed  to  accumulate,  but  should  be  washed  a  few  at  a  time  as  they 
become  soiled,  so  as  to  equalize  the  matron's  work. 

268.  The  compensation  of  the  matron  being  fixed  by  law,  no  extra 
compensation  for  perfornung  any  of  the  duties  incident  to  her  em-, 
ployment  can  be  allowed,  nor  can  other  persons  be  employed  at  the 
expense  of  the  United  States  to  do  her  work  or  any  part  of  it. 

(a)  Matrons  are  forbidden  to  farm  out  their  work  to  other  persons. 

(b)  Matrons  are  not  entitled  to  leaves  of  absence  or  to  pay  and 
rations  while  absent  or  wliile  unable  to  perform  their  duty. 

(c)  Matrons  who  are  unable  or  unwilling  to  meet  these  requirements 
should  be  discharged. 

269.  When  the  number  of  j^ieces  to  be  laundered  is  more  than  the 
matron  can  do  (having  in  mind  the  minimum  of  500  pieces  a  month 
above  required),  the  excess  may  be  put  out  under  the  provisions  of 
paragraphs  270  to  278.  When  it  would  be  an  economy  and  advantage 
to  put  the  entire  laundry  out  instead  of  the  excess  only,  the  facts 
should  be  reported  to  the  department  surgeon  for  his  information  with 
a  view  to  obtaining  the  necessary  instructions  and  authority  for 
further  action.  For  the  purpose  of  this  report  the  matron's  total  com- 
pensation, including  pay  and  allowances,  is  regarded  as  equivalent  to 

a  month,  of  which  S3  may  be  taken  as  for  the  mending,  and  the 


balance,  $15,  for  the  laundermg. 

LAUNDRY    WORK    NOT    DONE    BY    MATRONS. 

270.  The  excess  laundry  at  hospitals  where  there  arc  matrons  and 
the  entire  laundry  at  other  hosj^itals  (except  those  with  laundry 
plants  or  otherwise  provided  for  under  special  instructions  from  the 
Surgeon  General)  may  be  put  out  to  private  laundries.  When  com- 
petition is  not  had,  the  responsible  officer  will  ascertain  the  lowest 
prices  current  in  the  vicinity  for  good  hand  or  machine  work  and 
govern  his  action  accordingly. 

271.  Individual  laundrymen  and  laundresses  may  be  employed 
under  this  authority  without  advertising  for  proposals,  provided 
they  do  the  work  in  person,  the  same  being  regarded  as  personal 
services  v\^ithin  the  meaning  of  section  3709,  Revised  Statutes.  The 
vouchers  will  bear  a  notation  showing  that  the  work  was  done  by  the 
creditor  in  person. 

272.  Lamidry  work  by  steam  laundries,  or  corporations,  firms,  or 
individuals  who  do  a  general  laundry  business,  the  actual  work  being 
done  by  employees  of  such  lamidries,  corporations,  etc.,  may  be 
engaged  in  open  market  as  follows : 

First.  Wlien  proposals  have  been  invited  and  none  have  been 
received,  or  when  the  proposals  are  above  the  market  rate,  or  are 
otherwise  unreasonable. 


MANUAL   FOR   MEDICAL   DEPARTMENT^   U.    S.   ARMY.  91 

Second.  IVheii  it  is  impracticable  to  secure  competition,  as,  for 
example,  when  there  is  but  one  laundry  within  accessible  distance  of 
the  }X)st  or  station. 

Third.  When  there  is  a  public  exigency  which  requires  the  imme- 
diate p(U'formance  of  the  work.  An  emergency  can  not  rightfully  be 
held  to  continue  for  a  longer  period  than  may  be  necessary  to  enter 
into  a  contract  for  the  continuing  service  required.  Work  hired;  how- 
ever, between  the  time  of  inviting  proposals  and  the  final  approval  of 
a  contract  thereunder  may  properly  be  regarded  as  an  emergency 
procurement.  The  emergency  having  been  met,  steps  should  be 
taken  to  obtain  proposals  and  lot  contracts  for  future  service  in  com- 
pliance with  the  general  rule  below  (par.  273). 

Fourth.  When  the  monthly  laundry  is  so  small,  amounting  to  but  a 
few  dollars,  that  no  competitive  bids  could  reasonably  be  expected. 

273.  When,  however,  the  number  of  pieces  to  be  put  out  is  large 
and  reasonably  constant,  the  work  should  be  advertised,  taking  all 
proper  steps  to  obtain  competition  thereon,  and  contract  should  be 
awarded  for  the  same  to  the  lowest  responsible  bidder.  Blanks  for 
the  p.urpose  will  be  furnished  by  the  Surgeon  General  on  application. 
The  regulations  respecting  the  time  and  mode  of  advertising,  the 
opening  and  abstracting  of  bids,  and  the  forwarding  of  papers  will 
be  observed  as  in  the  purchase  of  supplies.  Bids  will  ordinarily  be 
invited  by  the  dozen  or  the  hundred  without  regard  to  the  different 
classes  of  goods  to  be  laundered.  If  bidders  vvill  not  submit  bids  in 
this  form,  separate  bids  on  each  kind  of  article  may  be  invited,  and 
awards  made  under  special  instructions  from  the  Surgeon  General, 
or  in  the  Philippine  Departm-ent  from  the  department  surgeon. 

(a)  When  a  more  satisfactory  monthly  arrangement  may  be 
effected  without  advertising,  and  the  amount  involved  does  not 
exceed  $500  for  any  one  month,  the  requirements  of  this  paragraph 
may  be  v/aived  by  the  Surgeon  General,  or  in  the  Philippine  Depart- 
ment by  the  department  surgeon. 

274.  Contracts  entered  into  on  awards  in  these  cases  will  as  a  rule 
be  made  for  a  fixed  period  of  time,  as,  e.  g.,  for  the  six  months  ending 
December  31,  or  the  six  months  ending  June  30,  of  any  fiscal  jrear. 
If  deemed  advisable,  contracts  for  a  less  or  a  greater  period  may  be 
entered  into,  but  in  no  case  should  a  single  contract  cover  service  in 
difl'erent  fiscal  years.  The  contracts  will  be  executed  in  triplicate. 
Contracts  at  posts  within  a  department  will  be  made  subject  to 
the  approval  of  the  department  surgeon.  They  will  be  promptly 
forwarded,  together  with  the  abstracts  of  proposals  and  accompanying 
papers,  and  the  bonds,  when  bonds  are  required,  to  the  department 
surgeon  upon  whose  approval  they  are  conditioned.  Before  approval, 
he  will  see  that  they  are  correct  and  regular  in  every  respect.  One 
of  the  approved  numbers  will  be  given  to  the  contractor  and  the  other 


92  MAXUAL   FOR    MEDICAL   DEPARTMENT,   TJ.    S.    ARMY. 

two  Avill  be  sent  promptly  to  the  Surgeon  General  (one  for  file  in  his 
office  and  the  other  for  transmittal  to  the  Auditor  for  the  War  Depart- 
ment), accompanied  by  both  numbers  of  the  bond,  when  bond  is 
required,  and,  separately,  the  abstract  of  proposals  with  its  exhibits. 
The  Surgeon  General  will  submit  to  the  Secretary  of  War  any  serious 
errors  or  defects  discovered.  Contracts  at  posts  and  stations  under 
the  immediate  supervision  of  the  War  Department  will  be  made  sub- 
ject to  the  approval  of  the  Surgeon  General,  to  whom  all  numbers  of 
the  contract,  the  bonds  when  bonds  are  recjuired,  and  the  abstract, 
with,  accompanying  papers,  vvill  be  forwarded.  No  work  will  be  let 
under  the  contract  until  the  approval  upon  vrhich  it  is  conditioned  has 
been  given. 

276.  In  addition  to  the  three  original  numbers  of  the  contract 
executed  as  above,  two  copies  will  be  made,  one  for  the  contracting 
officer,  the  other  for  the  returns  office  of  the  Department  of  the 
Interior.  The  latter,  prepared  in  strict  conformity  with  sections 
3744  and  3746,  Revised  Statutes,  will  be  transmitted  direct. 

276.  Bonds  for  the  faithful  performance  of  contracts  for  laundry 
work  will  not  be  recjuired  except  when  specially  directed  by  the-Sur- 
geon  General,  or  in  the  Philippine  Department  by  the  department 
surgeon. 

277.  Vouchers  for  laundry  work  hired  under  the  preceding  para- 
graphs vail  be  prepared  on  Form  330  or  Form  330a,  W.  D.  They  will 
be  forv.^arded  to  the  department  surgeon;  or,  if  from  a  command  under 
the  immediate  supervision  of  the  War  Department,  to  the  Surgeon 
General  unless  otherwise  directed  by  him.  They  will  show:  First, 
the  period  during  which  the  work  was  done,  from  ffi'st  to  last  dates; 
second,  the  hospital  for  which  it  was  done;  third,  in  general  terms, 
the  classes  of  articles  laundered,  such  as  hospital  Imen,  patients' 
clothing,  nurses'  uniforms,  white  suits  of  enlisted  attendants,  each  or 
all  as  the  case  may  be;  fourth,  the  number  of  each  class  in  gross,  if  a 
flat  price  by  number,  regardless  of  the  several  kinds  of  pieces,  is  to  be 
paid,  or,  in  detail,  under  each  class,  if  separate  prices  are  to  be  paid 
for  the  several  kinds  of  pieces;  fifth,  the  price  or  prices  by  the  piece, 
dozen,  or  hundred,  the  charge  by  classes  or  items,  and  the  total 
claimed. 

(a)  When  flat  prices  are  to  be  paid,  regardless  of  the  several  kmds 
of  pieces,  the  vouchers  will  exhibit  the  classificatif^n  of  pieces  as 
follows,  for  example : 

Hospital  linen  (property  of  the  Medical  Department),  417  pieces,  at  2  cents ...  $8.  34 

Patients'  clothing  (their  own  proiaerty),  7  pieces,  at  2  cents 14 

White  suits  of  enlisted  attendants  (their  own  property),  22  pieces,  at  2  cents .  .  .44 
Nurses '  uniforms  (theii*  own  property),  19  pieces,  at  2  cents 38 

9.30 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  93 

(b)  But  when  different  prices  arc  to  be  paid  for  the  various  pieces, 
the  vouchers  will  exhibit  the  items  under  each  class  of  pieces  in  the 
f ollowmg  form : 

Hospital  linen  (property  of  the  },Iedical  Department) : 

Blankets,  10,  at  20  cents 52. 00 

^losqiiito  bars,  6,  at  5  cents 30 

Bath  towels  and  sheets,  200,  at  2  cents 4. 00 

Hand  towels,  200,  at  ^  cent 1-00 

Nurses '  uniforms  (their  own  property) : 

Caps,  8,  at  Scents 40 

Collars,  10,  at  2  cents 20 

Patients '  clothing  (their  own  property) : 

Undershirts,  2,  at  7  cents 14 

Drawers,  2,  at  5  cents s 10 

WTiite  suits  of  enlisted  attendants  (their  own  property): 

Trousers,  10,  at  7  cents '  -70 

Coats,  8,  at  12  cents 96 

9.80 

(c)  The  ofhcer  will  certify  that  ''No  articles  are  charged  for  m  the 
foregomg  account  except  such  as  are  constituted  a  part  of  the  hospital 
laundry  by  paragraph  267,  M.  M.  D.,"  taking  care  not  to  encroach 
upon  the  approval  space  to  the  right  of  the  $  sign. 

278.  Vouchers  for  laundry  at  a  hospital  where  there  is  no  matron 
will  contaki  in  the  officer's  certificate  the  notation  ''No  matron  at 
post." 

(a)  Vouchers  for  excess  laundry  at  a  hospital  where  there  is  a 
matron  will  be  accompanied  by  a  statement  sho^\dng  the  matron's 
name,  the  kind  and  number  of  pieces  laundered  by  her  and  put  to 
hhe,  respectively,  durmg  the  period  covered,  and  by  a  certificate 
that  she  was  unable  to  do  any  of  the  laundry  put  out.  These  will  be 
separate  from  the  vouchers,  which  should  contain  no  reference  thereto. 

HOSPITAL    RULES. 

279.  The  following  rules  are  given  for  the  internal  administration 
of  hospitals.  They  should  be  conspicuously  posted  with  any  others 
that  may  be  decided  upon  by  the  surgeon. 

OENERAIL,  RULES, 

(1)  In  the  smaller  hospitals  the  senior  noncommissioned  officer,  under  the  direction 
of  the  surgeon,  is  in  immediate  charge  of  the  hospital  and  the  Hospital  Corps  detach- 
ment. He  will  see  that  all  men  of' the  detachment  and  all  patients  in  the  hospital 
are  always  present  or  accounted  for.  He  will  require  all  members  of  the  detacliment 
to  perform  their  duties  quietly  and  treat  the  sick  with  gentleness  and  consideration.^ 

(2)  The  noncommissioned  officer  in  charge  af  public  property  Will  keep  an  accurate 
account  of  the  same  and  its  place  of  distribution. 

1  In  the  larger  hospitals  it  may  be  necessary  to  distribute  these  duties  among  several  noncommissioned 
officers  as  determined  by  the  commanding  officer  of  the  hospital. 


94  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

(3)  Each  man  in  charge  of  a  department  of  the  hospital,  as  wardnmster,  noncom- 
missioned ofRcer  in  charge  of  mess,  etc.,  is  responsible  for  the  property  used  in  his 
department.  He  will  keep  a  list  of  the  same  and  will  l)y  frequent  inventories  avssure 
himself  of  its  presence. 

(4)  All  public  property  in  the  possession  of  the  men  must  be  kept  in  good  order  and 
all  missing  or  damaged  articles  accounted  for. 

(5)  A  noncommissioned  officer  or  other  man,  upon  his  assignment  to  a  department 
of  the  hospital,  will  make  himself  familiar  with  the  special  orders  governing  it,  and  all 
mu.'it  familiarize  themselves  with  the  standing  orders  of  the  hospital. 

(6)  All  noncommissioned  officers  and  privates  of  the  detachment  will  be  present 
at  all  formations  unless  specially  excused. 

(7)  All  men  on  duty  in  the  kitchen  and  mess  room  will  arise  at  least  one  hour  before 
reveille;  all  other  members  of  the  detachment,  unless  specifically  excused,  will 
arise  at  or  before  first  call  for  reveille. 

(8)  Immediately  after  reveille  each  man  will  arrange  his  bed  and  personal  belong- 
ings in  a  neat  and  orderly  manner.  All  clean  underclotliing  will  be  neatly  folded 
and  placed  in  the  lockers,  wliich  ^vill  be  uniformly  packed;  other  clothing  vdll  be 
brushed  and  huiig  in  the  lockers  or  in  a  specially  designated  jjlace.  Soiled  clothing 
A\'ill  be  kept  in  the  barrack  bags.  Shoes  will  .be  polished  and  neatly  arranged  in  the 
lockers  or  under  the  sides  of  the  beds. 

(9)  All  beds  will  be  overhauled  and  cleaned  each  week  and,  weather  permitting, 
the  bedding  and  mattresses,  together  with  the  other  clothing  will  be  well  shaken 
and  hung  out  to  air  for  at  least  two  hours.  Mattress  covers  yn\l  be  changed  imme- 
diately before  each  monthly  inspection  or  oftener  if  necessary.  Sheets  and  pillow- 
cases will  be  changed  at  least  once  each  week. 

(10)  A  card  bearing  the  name  of  the  soldier  v.ill  be  attached  to  the  foot  of  his  bed, 
and  his  accouterments  will  be  hung,  neatly  and  uniformly  arranged,  on  the  foot  end 
iron  of  his  bunk. 

(11)  The  squad  room  will  always  be  kept  clean,  neat,  and  orderly. 

(12)  The  men  ■will  pay  the  utmost  attention  to  personal  cleanliness;  each  will 
bathe  at  least  once  weekly,  his  hair  must  be  kept  short,  and  his  face  shaved,  or  beard 
neatly  trimmed,  and  his  underclothing  frequently  changed.     (See  Army  Regulations.) 

(13)  Members  of  the  detachment  will  wear  the  prescribed  uniform  at  all  times 
when  present  at  the  post.  While  on  fatigue  they  may  wear  the  fatigue  dress.  While 
on  duty  in  wards,  dispensary,  operating  room,  mess  room,  or  kitchen,  they  will  wear 
the  white  uniform. 

(14)  No  member  of  the  detachment  will  leave  the  hospital  bounds  except  by  i>er- 
mission  of  proper  authority  or,  in  case  of  emergency,  in  the  execution  of  duty. 

(15)  Immediately  after  breakfast  the  ho.spital  mil  be  thoroughly  policed  in  every 
department.  It  must  be  ready  for  inspection  at  the  hour  designated  by  the  surgeon 
and  always  be  kept  absolutely  clean. 

(16)  No  member  of  the  hospital  personnel  will  borrow  from  or  have  financial  deal- 
ings "with  any  patient. 

(17)  When  necessary,  a  noncommissioned  officer  in  charge  of  quarters  will  be 
detailed  daily  by  roster  from  noncommissioned  officers  on  duty  with  the  detachment, 
and  an  emergency  squad  will  always  be  designated. 

(18)  The  noncommissioned  officer  in  charge  of  quarters  vdll  make  an  insj>ection  of 
all  wards  and  quarters  at  such  times  as  the  surgeon  may  direct,  -will  report  all  unau- 
thorized absentees  to  the  noncommissioned  officer  in  cJiarge  of  the  detachment,  and 
vvill  see  that  no  unauthorized  lights  are  burning.  In  ciise  of  ffi-e  he  will  give  the 
alarm  and  proceed  as  ordered  in  fire  regulations.  He  %nll  be  resj^onsible  for  the 
efficient  performance  of  the  watchman's  duties. 

(19)  The  night  watchman,  when  one  is  necessary,  will  be  under  the  immediate 
orders  of  the  noncommissioned  officer  in  charge  of  quarters.  He  ■will  patrol  the  hos- 
pital grounds  at  least  once  every  three  hours  and  will  be  constantly  on  the  alert  for 


MANUAL  FOR    MEDICAL   DEPARTMENT,   U.    S.    ARMY.  95 

fires,  lights,  and  unauthorizod  i>orson8  in  or  about  tlie  hospital,     lie  will  at  once 
report  to  the  noncommissioned  officer  indicated  all  unusual  occurrences  and  X'iola- 
tions  of  existing  onlers  which  come  under  his  observation. 
(^)  Vy'-AUt>  RULES. 

(1)  The  head  nurse,  or  in  Avards  in  which  members  of  the  Army  Nurse  Corps  or 
Army  Nurse  Corps  Reserve  are  not  assigned,  the  ward  master  of  each  ward  is  directly 
responsible  to  the  ward  surgeon,  and  will  be  in  charge  of  the  ward  and  the  enlisted 
assistants  and  patients  in  it,  and  mil  be  obeyed  and  respected  accordingly. 

(2)  The  head  nurse,  or  in  wards  in  which  members  of  the  Army  Nurse  Corps  or 
Army  Nurse  Corps  Reserve  are  not  assigned  the  ward  master,  is  responsible  for  the 
cleanliness  and  order  of  the  ward,  for  the  public  property  therein,  and  for  the  effects 
of  the  patients  until  they  have  been  turned  over  to  the  proper  custodian,  and  is  respon- 
sible for  the  prompt  delivery  of  prescriptions  to  the  dispensary,  of  medicines  to  the 
ward,  and  of  the  diet  orders  to  the  hospital  office. 

(3)  In  wards  to  which  members  of  the  Nurse  Corps  are  not  assigned  the  ward  master 
is  responsible  for  the  administration  of  medicines  and  other  treatment  prescribed,  the 
keeping  of  records,  and  all  other  duties  that  may  be  assigned  to  him  by  the  ward  officer. 

(4)  Phenol,  bichloride  of  mercury,  other  active  poisons,  alcohol,  and  alcoholic 
liquors,  when  necessarily  on  hand  in  the  wai-d,  will  be  kept  under  lock  and  key  and 
every  precaution  taken  to  prevent  theii-  improper  use. 

(5)  On  the  death  of  a  patient  the  ward  master  will  notify  the  ward  surgeon,  or  in  his 
absence  the  medical  officer  of  the  day.  He  will  not  remove  the  body  from  the  ward 
until  after  it  has  been  examined  by  a  medical  officer. 

(6)  The  ward  master  will  see  that  patients  ai-e  acquainted  with  the  ward  rules. 

(7)  Before  leaving  the  ward  at  the  end  of  his  daily  tour  of  duty,  the  wardmaster 
will  turn  over  to  his  relief  ail  orders  of  the  ward  surgeon,  accompanied  by  such  expla- 
na,tion  and  instruction  as  may  be  necessary. 

(8)  Upon  reaching  the  ward,  patients  will  be  promptly  bathed,  clothed  in  clean 
hospital  clothing,  and  put  to  bed,  unless  their  condition  indicates  otherwise  or  a 
specific  order  forbids. 

(9)  Money  and  valuables  found  on  patients  will  be  disposed  of  as  prescribed  in 
paragraph  221,  M.  M.  D.  The  commanding  officer  will  not  be  responsible  for  money 
or  valuables  of  patients  not  turned  over  for  deposit  in  the  hospital  safe. 

(10)  A  clinical  record  mil  be  carefully  kept  for  each  patient.  Upon  final  disposi- 
tion of  the  case  this  record  will  be  completed  and  signed  by  the  ward  surgeon  and 
turned  in  to  the  record  oflice.     (M.  M.  D.,  par.  407.) 

(11)  No  information  regarding  the  diseases  or  condition  of  patients  under  treat- 
ment will  be  given  to  anyone  except  those  authorized  under  the  regulations  to 
receive  it. 

(12)  Visitors  will  be  allowed  to  see  friends  in  the  ward  at  a  specified  time,  when 
their  presence  will  in  no  way  disturb  other  patients;  but  female  \-isitors  will  not  be 
permitted  in  the  wards  except  when  cases  are  serious,  and  then  only  by  special  per- 
mission of  the  wai-d  surgeon. 

(13)  Bed  linen  will  be  changed  on  occupied  beds  at  least  twice  weekly,  and  oftener 
if  necessary  to  insui'e  cleanliness.  Whenever  a  bed  is  to  be  occupied  by  a  new  patient 
clean  linen  will  be  furnished.  All  bedding  and  clothing  used  by  infectious  cases 
will  be  promptly  disinfected  when  removed  from  the  beds.  Patients  will  not  occupy 
their  beds  when  dressed  in  other  than  hospital  clothing. 

(14)  Loud  noises,  boisterotis  actions,  the  use  of  profane  language,  and  gambling 
are  forbidden  in  the  wards,  and  no  food,  intoxicants,  or  other  articles  of  food  or  drink, 
except  as  prescribed  or  authorized,  Avill  be  brought  into  the  wards. 

(15)  Patients  are  forbidden  to  use  towels,  basins,  toilet  articles,  eating  utensils,  or 
articles  of  clothing  pertaining  to  another  patient.     (C  M.  M.  D.,  No.  7.) 


96  MANUAL  FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

POST  HOSPITALS. 

280.  Post  hospitals  are  maintained  at  garrisoned'  posts  and  in 
tlio  main  eacli  receives  patients  only  from  the  garrison  to  which  it 
belongs. 

281.  The  senior  medical  officer  of  a  post  commands  the  hospital, 
its  personnel  and  patients,  subject  to  the  authority  of  the  post  com- 
mander, to  whom  his  relations  are  analogous  to  those  of  a  company 
commander.  His  duties  are  indicated  in  general  terms  in  Army 
Regulations. 

(a)  He  will  determine  what  patients  are  to  be  admitted  to  the 
hospital,  will  assign  them  to  wards  or  divisions  according  to  conven- 
ience and  the  nature  of  their  complaints,  and  will  take  proper  meas- 
ures for  then'  care  and  treatment.  By  his  prescription  and  under  his 
direction  convalescent  patients  may  be  employed  to  perform  such 
light  police  duty  in  and  about  the  hospital  as  may  not  be  mjurious 
to  their  health.  He  will  decide  when  they  are  so  far  recovered  as  to 
be  able  to  leave  hospital  and  will  return  them  to  duty  or  to  c^uarters 
accordingly. 

(b)  He  will  be  responsible  for  the  care  and  preparation  of  the 
necessary  hospital  reports,  registers,  and  records,  as  well  as  for  all 
public  property  which  may  come  into  his  possession;  for  the  proper 
expenditure  of  supplies  and  funds;  and  for  the  preparation  of  requi- 
sitions, returns,  and  muster  pay  rolls  of  the  hospital.  He  will 
require  a  proper  performance  of  duty  by  the  entire  hospital  person- 
nel and  will  make  and  enforce  proper  regulations  as  to  the  sanitary, 
disciplinary,  and  other  requirements  of  the  hospital. 

DEPARTMENT   HOSPITALS. 

282.  A  department  hospital  is  under  the  control  of  the  commanding 
officer  of  the  department  in  which  it  is  situated.  In  all  other  respects 
its  organization,  admmistration,  and  function  correspond  to  that  of 
a  general  hospital. 

GENERAL  HOSPITALS. 

283.  General  hospitals  are  maintained  for  the  followmg  purposes: 
(1)  To  afford  better  facilities  than  can  be  provided  at  the  ordinary 
post  hospitals  for  the  study,  observation,  and  treatment  of  serious, 
complicated,  or  obscure  cases.  For  this  purpose  general  hospitals 
are  equipped  with  the  best  modern  apparatus  for  the  study  and 
treatment  of  such  cases,  and  maintain  a  specially  qualified  per- 
sonnel. (2)  To  afford  oj^portunities  for  the  performance  of  the 
more  difficult  or  formidable  surgical  operations,  facilities  for  which 
may  be  lackmg  at  post  hospitals.  (3)  To  study  and  finally  dis- 
pose of  cases  that  have  long  resisted  treatment  elsewhere,  and  to 
determine   questions   of  the   existence,   cause,   extent,   and  perma- 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  97 

nence  of  mental  and  physical  disabilities  of  long  standing  or  unusual 
obscurity.  (4)  To  instruct  and  train  junior  medical  officers  in 
general  professional  and  administrative  duties.  (5)  To  form  a 
nucleus  for  the  development  of  the  larger  hospitals  requu-ed  in  the 
home  territory  in  time  of  war. 

284.  General  hospitals  are  under  the  exclusive  control  of  the 
Surgeon  General,  except  in  matters  pertaining  to  the  admmistration 
of  military  justice  and  are  governed  by  such  regulations  as  are  pre- 
scribed by  the  Secretar}^  of  War.  The  senior  medical  officer  on 
duty  therein  will  command  the  same  and  will  not  be  subject  to  the 
orders  of  local  commanders  other  than  those  of  territorial  depart- 
ments to  whom  specific  delegation  of  authority  may  have  been 
made.     (See  Army  Regulations.) 

285.  Officers  and  enlisted  men  on  the  active  list  of  the  Army  who 
shall  have  been  transferred  to  a  general  hospital  for  treatment  only 
will,  when  fit  for  dut}^,  be  returned  to  their  proper  posts  or  com- 
mands by  the  commanding  officer  of  the  hospital,  unless  he  shall  have 
been  otherwise  instructed.     (See  Armj^  Regulations.) 

286.  All  supplies  except  medical,  for  general  hospitals,  including 
allotments  for  current  repairs,  are  obtained  through  the  headquar- 
ters of  the  temtorial  departments  in  which  they  are  located.  (See 
Appendix:  General  Hospitals.) 

287.  Rescmded.     (C.  M.  M.  D.,  No.  7.) 

288.  An  officer  or  enlisted  man  will  not  be  admitted  or  readmitted 
to  a  general  hospital  except  when  authorized  by  his  commanding 
officer  or  higher  authority. 

289.  A  general  hospital  of  standard  size  has  a  capacity  of  500 
beds,  exclusive  of  isolation  wards.  Complete  plans  and  specifications 
for  the  erection  of  temporary  hospitals  of  this  capacity,  for  use  in 
time  of  war  or  other  emergency,  are  on  file  in  the  Surgeon  General's 
Office.  These  plans  and  specifications  are  also  suitable  for  use  in 
the  erection  of  additional  buildings  for  the  temporary  expansion  of 
hospitals  already  organized. 

290.  The  following  tabular  statement  furnishes  a  working  plan  of 
admmistration  and  gives  an  approximate  idea  of  the  presomiel 
required : 

ADMINISTRATION  DIVISION. 

COMMANDING    OFFICER. 

1  colonel  or  lieutenant  colonel,  M.  C. 

adjutant's  office. 

(In  charge  of  administrative  records  and  correspondence,  telegraph  office,  telephone 

exchange,  and  post  office.) 


1  major,  M.  C. 

2  sergeants  ffi-st  class,  H.  C. 
11  privates,  H.  C. 

1  sergeant.  Signal  Corps. 
70156°— IS 7 


1  first-class  private,  Signal  Corps. 

2  civdlian  employees,   M.   D.    (stenogra- 
phers). 


98 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.   S.   ARMY. 


registrak's  office. 

(In  charge  of  medical    and   surgical  records;   commanding  officer,  detachment  of 
patients;  in  charge  of  patients'  money  and  valuables.) 


1  major  or  captain,  M.  C. 

2  eergeants  first  class,  H.  0. 


1  sergeant,  H.  C. 
6  privates,  H.  C. 

quartermaster's  office. 


(In  charge  of  quartermaster,  medical,  ordnance,  and  Signal  Corps  property  and  funds; 
construction  and  repair  of  buildings;  transportation;  police  and  care  of  grounds; 
disinfecting,  laundry,  heating,  lighting,  and  ice  plants;  clothing  and  baggage  room 


of  patients.) 

1  major  or  captain,  M.  C. 

1  captain  or  lieutenant,  M.  C. 

2  sergeants  fii'st  class,  H.  C. 
5  sergeants,  H.  C. 

22  privates,  H.  C. 

2  quartermaster  sergeants,  Q.  M.  C. 

1  sergeant  first  class,  Q.  M.  C. 

7  sergeants,  Q.  M.  C.  (1  stenographer,  1 
clerk,  1  overseer,  1  blacksmith,  1  plum- 
ber, 1  carpenter,  1  engineer). 


8  corporals,  Q.  M.  C.  (1  foragemaster,  1 
storekeeper,  1  baker,  1  printer,  1  painter, 
1  farrier,  1  saddler,  1  gardener). 

1  cook,  Q.  M.  C. 

7  privates  first  class,  Q.  M.  C.  (5  team- 
sters, 2  firemen). 

5  privates,  Q.  M.  0.  (laborers,  scavengers, 
etc.). 

Civilian  employees  (seamstresses,  laundry 
employees,  attendants,  scrub  women, 
etc.). 


HOSPITAL   MESS. 


(In  charge  of  hospital  messes,  kitchens,  bakery,  and  special  diet  service;  post  ex- 
change; hospital  fund.) 


1  captain  or  lieutenant,  M.  C. 

2  sergeants  first  class,  H.  C. 
4  sergeants,  H.  C. 

10  acting  cooks,  H.  C. 


30  privates,  H.  C. 
4  Army  Niu-se  Corps  (dietists). 
6  civilian  employees,  M.  D.  (1  chief  cook, 
2  cooks,  2  assistant  cooks,  1  baker). 


COMMANDING    OFFICER,    DETACHMENT,   H.   C. 

(In  charge  of  detachment,  H.  C,  on  duty  at  the  hospital;  recruiting,  identification 

work,  and  sick  call.) 


1  captain  or  lieutenant,  M.  C. 
1  sergeant  first  class,  H.  C. 
4  sergeants,  H.  C. 


2  corporals,  H.  C. 
5  acting  cooks,  H.  C. 
20  privates,  H.  C. 


OFFICER   OF  THE    DAY. 


(Detailed  from  roster  of  medical  officers.  In  charge  of  the  guard;  receiving  office, 
roster  of  patients  and  morning  report  of  admissions  and  losses;  ambulance,  emer- 
gency, and  fire-alarm  8er^dce;  information  office.) 


3  sergeants,  11.  C. 


(  6  privates,  H.  C. 

OFFICER  OF  THE    GUARD. 


(Detailed  from  roster  of  junior  medical  officers.     Commands  the  guard  under  the 
direction  of  the  officer  of  the  day.) 


2  sergeants.  H.  C. 
2  corporals,  H.  C. 


24  privates,  H.  C. 


MANUAL  FOB  MEDICAL  DEPARTMENT,   U.    S.   ARMY.  99 

This  detail  is  made  in  time  of  war  ouly  and  when  the  guard  is  not  furnished  by  tho 
line. 

CHAPLAIN. 

(In  charge  of  chapel,  library    reading  room,  amusement  hall,  and  post  school.) 
1  officer,  Corps  of  Chaplains.  I  1  private,  H.  C. 

PROFESSIONAL  DIVISION. 

CHIEF    OF   MEDICAL    SERVICE. 

(In  charge  of  the  medical  ser\4ce,  receiving  ward,  and  dispensary.) 

1  major,  M.  C.  I  2  privates,  II.  C. 

2  sergeants,  H.  C.  I 

CHIEF   OF   SURGICAL   SERVICE. 

Qn  charge  of  the  surgical  service,  including  the  operating  and  dressing  rooms.) 


1  major,  M.  C. 

1  captain  or  lieutenant,  M.  ('. 

1  sergeant,  H.  C. 


4  privates,  11.  C. 

5  Army  Nurse  Corps. 


(Ward  officers  may  be  assigned  additional  duties  in  eye,  ear,  nose,  and  throat,  genito- 
urinary and  other  special  services,  assistants  to  operating  surgeon,  etc.) 

12  captains  or  lieutenants,  M.  C.  I  70  privates,  H.  C. 

6  sergeants,  H.  0.  I  53  Army  Nurse  Corps. 

LABORATORY. 

(In  charge  of  chemical,  bacteriological,  and  X-ray  laboratories  and  morgue.) 

1  captain  or  lieutenant,  M.  C.  12  sergeants,  H.  C. 

1  sergeant  first  class,  H.  C.  |  4  privates,  11.  C. 

DENTAL   SERVICE. 

(In  charge  of  dental  service.) 
1  lieutenant,  D.  C.  I  1  private,  H.  C. 

NURSING   SERVICE. 

(In  charge  of  nujrsing  service.) 


1  cliief  nurse,  A.  N.  C. 

1  assistant  chief  nurse,  A.  N.  C. 

1  supervising  night  nurse,  A.  N.  C. 


7  civilian  employees,  M.  D.  (1  cook,  1 

assistant  cook,  5  attendants). 
See  also  Wards  and  Hospital  Mess. 


CONVALESCENT   CAMP. 


1  captain  or  lieutenant,  M.  C.  11  sergeant,  H.  C. 

1  sergeant  first  class,  II.  C.  16  privates,  H.  C. 

Note. — The  term  "private,  H.  C."  is  used  in  the  above  table  to  denote  both 
pri\  ates  first  class  and  privates,  H.  C. 


100  MANUAL   FOR   MEDICAL   DEPARTMENT^    U.    S.    ARMY. 

{a)  The  allowance  of  the  members,  of  the  Quartermaster  Corps  or 
their  civilian  substitutes  and  of  the  civilian  employees  of  the  Medical 
Department  will  vary  according  to  the  character  and  special  work  of 
the  hospital,  and  will  be  decided  in  each  case  by  the  proper  authority. 
For  the  duties  of  the  several  grades  in  the  Quartermaster  Corps  see 
"Quartermaster  Corps"  m  the  Appendix, 

(b)  In  time  of  war  25  per  cent  of  the  officers  of  the  professional 
division,  25  per  cent  of  the  ward  attendants,  and  75  per  cent  of  the 
nurses  might  be  furnished  by  personnel  from  the  American  National 
Red  Cross  Society.  This  corresponds  approximately  to  one  Red 
Cross  hospital  colunm.     (See  pars.  102  and  53Qlc.) 

COMMANDING    OFFICER. 

291.  The  commanding  officer  has  all  the  responsibility  of  a  post 
commander  as  prescribed  in  Army  Regulations,  in  addition  to  the 
general  management  of  the  hospital. 

ADJUTANT. 

292.  Under  the  direction  of  the  commanding  ofiicer  the  adjutant 
will  have  charge  of  the  correspondence  and  various  rosters  of  service; 
he  will  make,  publish,  and  verify  all  orders  and  details,  keep  the 
records  of  the  hospital,  and  perform  such  other  duties  as  are  requii-ed 
by  regulations.  Through  him  the  commanding  officer  communicates 
with  the  officers  and  men  of  his  command.  He  is  the  representative 
of  the  commanding  officer  and  the  executive  officer  of  the  hospital. 

REGISTRAR. 

293.  The  registrar  will  have  charge  of  all  medical  and  surgical 
records  and  will  see  that  careful  and  accurate  clinical  histories  and 
sick  and  wounded  records  are  kept.  He  will  prepare  all  reports  and 
returns  pertaining  to  the  sick  and  wouniled.  He  will  act  as  the  com- 
manding officer  of  the  detachment  of  patients  and  will  have  charge 
of  all  records,  accounts,  and  returns  pertaining  thereto.  He  will  care 
for  the  money  and  "aluables  of  patients  in  hospital. 

QUARTERMASTER. 

294.  Tlie  ciuartermastcr  wiU  be  in  charge  of  all  })ublic  property, 
suppUes,  and  funds;  the  construction  and  repair  of  buildings;  trans- 
portation; outside  police  and  care  of  grounds;  laundry,  disinfection, 
and  refrigeration  plants;  power  plant,  shops,  and  baggage  store- 
rooms. The  property  necessary  to  ec[uip  the  different  departments 
of  the  hospital  will  be  issued  on  memorandum  receipts  to  the  re- 
sponsible officers.  These  officers  will  check  property  at  least  once  a 
month  and  u[)on  transfer  of  their  responsibility.  All  losses  or  ex- 
cesses of  property  wiU  be  promptly  reported  to  the  accountable  oflicer. 


MANUAL  FOR  MEDICAL   DEPAJ?tf]VtENT,   U.    S.    ARMY.  101 

MESS    OlTlCEll. 

295.  The  mess  officer  wiU  establish  and  conduct  such  messes  and 
furnish  such  diets  as  the  conmianding  officer  may  direct,  in  accordance 
with  the  principles  of  mess  management  outUned  in  paragraph  231 
et  seq.  He  will  be  accountable  for  and  expend  the  hospital  fund 
under  the  supervision  of  the  commanding  officer. 

COMMANDING    OFFICER,    DETACHMENT    HOSPITAL    CORPS. 

296.  The  detachment  commander  will  command  the  personnel  of 
the  Hospital  Corps  on  duty  at  the  hospital.  He  wiU  supply  such 
details  to  different  departments  of  the  hospital  as  may  be  directed  by 
the  coromanding  officer.  He  wiU  be  responsible  for  the  discipline, 
instruction,  equipment,  and  rationing  of  the  detachment  and  will 
keep  aU  records  and  accounts  pertaining  to  the  individual  members 
thereof.  He  will  provide  for  the  subsistence  of  all  prisoners  in  the 
guardhouse.  He  will  hold  the  daily  sick  call  for  the  personnel  of  the 
hospital  and  perform  such  other  duties  as  the  commanding  officer 
may  direct. 

OFFICER    OF    THE    DAY. 

297.  The  officer  of  the  day  will  be  assigned  to  duty  for  a  tour  of 
24  hours,  during  which  he  will  always  be  accessible  for  cases  of 
emergency  and  to  meet  the  requirements  of  the  duties  hereinafter 
stated.  He  will  be  notified  by  the  adjutant  of  his  selection  for  duty 
on  the  day  preceding  that  on  which  his  tour  begms.  He  may  be 
required  to  perform  his  regular  duties  when  they  wiU  not  conflict 
with  the  performance  of  his  duties  as  officer  of  the  day. 

298.  Three  noncommissioned  officers  wiU  ordinarily  be  detailed 
permanently  as  assistants  to  the  officer  of  the  day,  and  there  wiU 
be  at  all  times  one  noncommissioned  officer  and  one  private  on 
duty  in  his  office.  The  noncommissioned  officers  wiU  report  to  the 
officer  of  the  day  at  the  beginning  of  their  respective  tours  of  duty 
and  will  in  no  case  leave  the  office  until  the  arrival  of  their  rehef. 

299.  At  an  hour  to  be  designated  in  hospital  orders  the  old  and 
the  new  officers  of  the  day  will  report  to  the  commanding  officer, 
the  old  officer  of  the  day  to  render  his  report,  the  new  officer  of 
the  day  to  receive  such  instructions  as  the  commanding  officer  may 
wish  to  give.  At  the  expiration  of  his  tour  of  duty  the  officer  of 
the  day  will  report  in  writing  to  the  commanding  officer  the  hours 
at  which  the  prescribed  inspections  were  made;  any  breaches  of 
discipline,  infraction  of  the  hospital  rules,  neglects  or  disorders  that 
may  have  occurred  durmg  his  tour  of  duty;  and  any  other  occurrences 
which  should  properly  be  brought  to  the  attention  of  the  command- 
ing officer. 


102  MANUAL    FOB    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

300.  The  dfncer  of  the  day  will  make  a  general  inspection  of  the 
hospital  at  such  hours  as  the  commanding  officer  may  direct.  Dur- 
ing this  inspection  he  -vNill  note  any  disorder  or  neglect  and,  if  prac- 
ticable, will  immediately  correct  the  same.  He  will  satisfy  himself 
that  the  watchmen  or  guards  are  famihar  with  their  duties  and  are 
performing  them  satisfactorily.  During  his  tour  of  duty  he  vnW. 
inspect  at  least  one  of  the  meals  served  in  each  hospital  mess.  He 
will  receive  the  reports  of  the  roll  calls  required  by  orders.  On  the 
outbreak  of  fire  he  will  assume  charge  until  the  arrival  of  the  fire 
marshal  or  of  the  senior  officer  present  at  the  hospital.  In  the 
absence  of  the  ward  surgeon  he  will  examine  the  body  of  any  patient 
who  may  die  during  his  tour  of  duty  and  order  its  removal  to  the 
morgue,  notifying  the  adjutant  of  his  action. 

301.  The  officer  of  the  day  will  examine  and  admit  aU  incoming 
patients.  If  the  officer  of  the  day  is  temporarily  imavadable,  the 
noncommissioned  officer  on  duty  in  the  receiving  office  wlQ  notify 
the  adjutant  of  the  arrival  of  patients,  and  the  adjutant  wiU  act 
in  his  stead  or  designate  another  officer  to  act  temporarily  as  sub- 
stitute for  the  officer  of  the  day  until  he  is  again  available.  In  no 
case  wiU  a  patient  be  admitted  and  assigned  to  a  ward  until  he  has 
been  seen  and  examined  by  the  officer  of  the  day  or  some  regularly 
designated  substitute. 

(a)  If  there  is  any  doubt  as  to  the  ward  to  which  he  should  be 
assigned,  the  patient  will  be  held  in  the  receiving  ward  for  disposi- 
tion by  the  chief  of  the  medical  service.  The  officer  of  the  day  will 
receive  money  and  valuables  from  patients  on  admission  and  will 
turn  them  over  to  the  registrar  for  safe-keeping.  An  attendant  from 
the  receiving  office  will  conduct  incoming  patients  to  the  wards  to 
which  they  have  been  assigned,  care  for  their  baggage  and  equip- 
ment, and  turn  over  to  the  wardmaster  the  patient's  admission  sUp. 
(See  par.  209.) 

302.  The  noncommissioned  officers  on  duty  with  the  officer  of  the 
day  will  keep  a  card  index  of  patients  in  hospital  and  will  enter 
gains  and  losses  on  the  morning  report  of  sick.     (Form  71.) 

303.  Upon  the  admission  of  a  patient  to  hospital  the  noncommis- 
sioned officer  will  secure  his  effects,  other  than  money  and  valuables, 
list  them  in  dupHcate  on  *iPe  patient's  property  card  (Form  75), 
tag  them  for  identification  (Form  76),  and  turn  them  over  to  the 
noncommissioned  officer  in  charge  of  the  storeroom  for  patients' 
effects.  The  latter  will  sign  both  lists,  retain  one  of  them  and 
return  the  other,  which  will  be  filed  in  the  registrar's  office.  Upon 
the  departure  of  a  patient  from  hospital  the  wardmaster  will  notify 
the  noncommissioned  officer  on  duty,  who  will  obtain  the  list  of  the 
patient's  effects  from  the  registrar's  office,  and  upon  their  delivery  to 
the  patient  obtain  his  receipt,  which  will  be  returned  to  the  registrar's 
office  for  file.     (See  par.  221 


MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY,  103 

304.  All  public  property  left  by  patients  at  the  hospital  will  be 
turned  over  to  the  quartermaster,  who  will  dispose  of  it  as  indicated 
in  paragraph  227. 

305.  In  time  of  peace  the  noncommissioned  officer  on  duty  will 
have  charge  of  the  Hospital  Corps  men  on  duty  as  watchmen.  He 
will  satisf}^  himself  that  they  have  been  properly  instructed  and 
understand  their  orders.  He  will  maintain  quiet  and  order  in  the 
hospital  and  will  notify  the  officer  of  the  day  of  any  unusual 
occurrence. 

306.  In  time  of  peace  the  hospital  will  be  guarded  by  Hospital 
Corps  men  detailed  as  watchmen  imder  the  officer  of  the  day  and 
his  noncommissioned  assistants.  In  time  of  war  the  necessary 
guard  will  ordinarily  be  performed  by  a  permanent  detail  of  sani- 
tary troops,  and  for  this  purpose  the  Hospital  Corps  personnel  wiU 
be  increased. 

(a)  When  this  detail  from  the  sanitary  troops  is  not  available,  the 
necessary  guard  may  be  obtained  on  request  from  the  department 
commander.  When  the  commander  of  such  a  guard  is  a  commis- 
sioned officer  he  will  confer  with  the  commanding  officer  of  the 
hospital  as  to  the  character  of  the  guard  duty  desired  by  the  latter, 
but  will  exercise  no  control  over  the  sanitary  formation.  If  such 
a  guard  is  not  accompanied  by  a  commissioned  officer,  it  will  be 
reported  by  the  noncommissioned  officer  in  charge  to  the  command- 
ing officer  of  the  hospital  and  will  be  placed  under  the  immediate 
command  of  the  officer  of  the  day. 

CHIEFS    OF    SERVICE. 

307.  The  chiefs  of  the  medical  and  surgical  services,  respectively, 
will  be  responsible  for  the  proper  administration  of  their  depart- 
ments. They  will  assign  the  ward  surgeons  to  their  duties  and  will 
see  that  patients  are  admitted  to  suitable  wards  and  that  they 
receive  proper  care  and  treatment.  They  will  visit  and  inspect  their 
wards  frequently  and  will  consult  with  and  advise  the  ward  surgeons. 
The  receiving  and  observation  ward  will  be  in  charge  of  the  chief  of 
the  medical  service. 

WARDS. 

308.  Medical  officers  when  assigned  to  duty  as  ward  surgeons  wiU 
be  held  responsible  for  the  professional  care  of  the  patients,  for  the 
condition  of  the  wards,  and  for  the  proper  performance  of  the  duties 
devolving  upon  the  nurses  and  attendants  assigned  to  service  in  con- 
nection therewith. 

309.  Ward  surgeons  will  make  such  visits  to  their  wards  as  the 
commanding  officer  may  prescribe  and  such  additional  visits  as  may 
be  necessary.  In  the  absence  of  the  ward  officer  the  oflicer  of  the 
day  %vill  attend  cases  of  emergency,  and  it  wiU  be  the  duty  of  the  ward 


104  MANUAL   FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

officer  to  call  to  the  attention  of  the  officer  of  the  day  any  cases  of 
critical  illness  that  may  require  attention  during  such  absence. 

310.  Ward  surgeons  will  report  to  their  cliief  of  service  the  names 
of  patients  in  their  wards  whom  they  consider  fit  subjects  for  dis- 
charge on  certificate  of  disability  or  for  transfer  to  other  hospitals. 
They  will  report  all  cases  of  critical  illness  to  the  adjutant  and  verify 
the  addresses  of  relatives. 

CHIEF    NURSES    AND    NURSES. 

311.  (Jhief  nurse. — The  chief  nurse  will  be  under  the  immediate 
orders  of  the  commanding  officer  of  the  hospital.  She  will  have 
general  supervision  of  the  nursmg  service  in  all  wards  in  which  imrses 
of  the  Nurse  Corps  are  on  duty,  and  will  be  in  charge  of  the  nurses' 
quarters. 

(a)  She  will  familiarize  herself  with  the  Army  Regulations  and  the 
Manual  for  the  Medical  Department  in  so  far  as  they  relate  to  the 
Nurse  Corps,  and  will  instruct  the  nurses  under  her  supervision  in 
such  regulations  as  refer  to  them  and  in  the  duties  peculiar  to  Army 
work. 

(b)  She  will  see  that  nurses  properly  perform  their  duties  and  will 
be  responsible  for  the  maintenance  of  discipline  among  them  both  in 
wards  and  in  quarters.  She  will  at  once  report  any  neglect  of  duty 
or  serious  breach  of  disciplme  to  the  commanding  officer  of  the 
hospital. 

(c)  She  will  arrange  the  hours  of  duty  and  assignments  of  all 
nurses  and  will  be  responsible  for  the  execution  of  all  orders  relating 
thereto. 

(d)  She  will  be  responsible  for  the  comfort  and  general  well-being 
of  the  nurses  under  her,  and  will  promptly  report  to  the  commanding 
officer  of  the  hospital  any  matters  which  improperly  affect  the  same. 
She  will  also  bring  to  his  attention  at  once  any  case  of  illness  among 
the  nurses. 

(e)  When  required  by  the  conmianding  officer  of  the  hospital,  she 
will  supervise  the  instruction  in  practical  nursuig  of  Hos})ital  Corps 
men  on  ward  duty.     . 

312.  Supervising  night  nurse. — When  necessary,  the  chief  nurse  will 
assign  a  nurse  to  supervise  the  nursing  service  of  the  hospital  at 
night.  Ward  nurses  on  night  duty  will  respect  the  orders  of  the 
supervising  night  nurse  accordingly.  They  will  apply  to  her  for 
instructions  if  they  need  them  and  will  inform  her  at  once  of  all  emer- 
gencies arising  in  the  wards.  The  supervising  night  nurse  will  on 
being  relieved  report  to  the  chief  nurse  any  miusual  incidents  of  the 
night's  work  and  any  dereUctions  of  duty  on  the  part  of  the  night 
nurses. 

313.  Head  nurse. — The  chief  nurse  will  designate  one  nurse  for 
each  ward  to  act  as  its  responsible  nursing  lu>ad.     The  head  nurse 


MANUAL   FOE  MEDICAL  DEPARTMENT,   U.    S.   ARMY.  105 

will  be  in  charge  of  the  ward,  the  nurses,  the  enlisted  personnel  and 
other  persons  assisting  in  the  nui-sing  care  of  patients,  and  of  the 
patients,  under  the  direction  of  the  ward  surgeon,  and  will  be  re- 
spected and  obeyed  accordingly.  She  will  receive  from  the  ward 
surgeon  all  orders  relating  to  the  care  and  treatment  of  the  patients 
in  her  ward  and  will  record  them  for  the  guidance  of  both  day  nurses 
and  night  nurses;  she  Avill  be  responsible  for  the  proper  nursing  of 
the  patients,  the  proper  serving  of  all  food  in  the  ward,  the  adminis- 
tration of  medicmes  and  other  treatment  prescribed,  the  cleanliness 
and  order  of  the  ward,  and  for  the  public  property  therein.  She  will 
be  responsible  to  the  chief  nurse  for  the  conduct  and  work  of  the 
ward  nurses  and  their  assistants;  mil  advise  the  chief  nurse  con- 
cerning their  efficiency  and  vriH  report  upon  the  efficiency  of  the 
enlisted  personnel  in  the  ward  to  the  proper  authority.  Her  hours 
of  duty  will  be  the  same  as  those  of  other  nurses.  Ordinarily  she  wiU 
be  required  to  perform  night  duty  only  one  month  in  six.  (C.  M.  M. 
D.  No.  7.) 

314.  Nurses. — The  duties  of  Army  nurses  will  be  such  as  are 
usually  performed  by  trained  nurses  in  civil  hospitals  of  like  general 
character.  So  far  as  practicable,  their  hours  of  duty  will  not  exceed 
eight  a  day.  They  will  not  be  required,  except"  under  the  stress  of 
emergency,  to  serve  more  than  one  month  in  three  on  night  duty. 

(a)  Day  nm'ses  will  be  at  all  times  responsible  for  the"  proper 
service  of  the  ward  to  the  head  nurse  of  the  ward. 

(h)  Night  nurses  wiR  be  responsible  during  the  night  to  the  super- 
vising night  nurse,  if  there  is  one.  If  there  is  no  supervising  night 
nurse,  they  will  be  directly  responsible  to  their  respective  head  nurses 
for  the  night  service  of  the  wards.  In  either  event  the  night  nurses 
on  being  relieved  by  the  day  nurses  wiQ  make  written  reports  of 
their  work  to  their  respective  head  nurses. 

315.  If  the  hospital  is  large  enough  to  require  it,  one  or  more  nurses 
may  be  assigned  to  duty  as  assistants  to  the  chief  nurse,  but  they 
r3hall  receive  no  additional  compensation  therefor. 

CONSULTING    BOARD. 

316.  The  commanding  officer  will  detail  a  board  of  three  medical 
officers  to  which  will  be  referred  all  cases  deemed  by  the  ward  sur- 
geon and  the  chief  of  his  service  proper  cases  for  consultation. 

ARMY  AND   NAVY   GENERAL  HOSPITAL,    HOT   SPRINGS, 

ARK. 

317.  This  hospital,  under  the  law  establishing  it  (act  June  30,  1882, 
22  Stats.,  121), is  "subject  to  such  rules,  regulations,  and  restrictions 
as  shall  be  provided  by  the  President  of  the  United  States."     The 


106  MANUAL   FOR   MEDICAL  DEPARTMENT,    U.    S.    ARMY. 

regulations  made  by  the  President,  promulgated  from  time  to  time 
in  general  orders,  are  indicated  in  the  following  paragraphs  under 
this  heading. 

ORGANIZATION    AND    ADMINISTRATION. 

318.  The  organization  of  the  hospital  shall  consist  of  one  medical 
officer  of  the  Army,  who  shall  command  it,  and  such  other  medical 
officers  of  the  Army  and  Navy  as  may  be  necessary,  to  be  detailed  by 
the  Secretary  of  War  or  the  Secretary  of  the  Navy,  respectively; 
one  officer  of  the  Quartermaster  Corps  or  of  the  line  of  the  Army 
as  an  acting  assistant  quartermaster,  detailed  by  the  Secretary  of 
War;  such  noncommissioned  officers  and  men  of  the  Hospital  Corps 
as  may  be  authorized  by  the  Secretary  of  War;  and  such  civil  em- 
ployees as  may  be  necessary  for  the  proper  service  of  the  hospital. 
(Executive  order  of  Aug.  25,  1892,  G.  O.  60,  1892.) 

(a)  The  duties  of  the  medical  officers  and  of  the  detachment  of  the 
Hospital  Corps  shall  be  those  prescribed  by  the  regulations  and 
general  orders  affecting  the  Army.      (Ibid.) 

(b)  The  duties  of  the  officer  acting  as  a  quartermaster  shall  be 
such  as  pertain  to  the  Quartermaster  Corps  as  prescribed  by  the 
regulations  and  orders  of  the  Army,  as  well  as  such  duties  as  may  be 
ordered  in  connection  with  this  particular  service.     (Ibid.) 

(c)  The  civil  employees  shall  be  appointed  by  the  commanding 
officer,  having  in  view  their  fitness  for  the  service  required.  They 
shall  be  governed  by  such  rules  as  may  be  promulgated  for  the  service 
of  the  hospital,  and  they  may  be  discharged  by  the  appointing  officer 
for  unfitness  or  when  their  services  become  unnecessary.     (Ibid.) 

DISEASES. 

319.  This  hospital  is  devoted  to  the  treatment  of  such  diseases 
as  the  waters  of  Hot  Springs  have  an  established  reputation  in  bene- 
fiting. (Executive  order  of  Aug.  25,  1892,  supra;  also  incorporated 
in  Army  Regulations.) 

(a)  Relief  may  reasonably  be  expected  at  the  Hot  Springs  in  the 
following  conditions:  In  the  various  forms  of  gout  and  rheumatism, 
after  the  acute  or  inflammatory  stage;  neuralgia,  especially  when 
depending  upon  gout,  rheumatism,  or  metalHc  or  malarial  poisoning; 
paralysis  not  of  central  origin;  the  earher  stages  of  locomotor  ataxia; 
chronic  Bright's  disease  (the  early  stages  only) ;  functional  diseases  of 
the  liver;  chronic  skin  diseases,  especially  the  squamous  varieties; 
and  chronic  conditions  due  to  malarial  infection. 

(b)  Admissions  to  this  hospital  of  all  such  cases  regardless  of  their 
severity  is  not,  however,  contemplated.  Its  faciUties  wiU  not  be 
extended  to  mild  and  transient  cases  which  should  yield  to  ordinary 
treatment,  but  are  reserved  for  those  of  a  serious  and  o])stinate  char- 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S,   ARMY.  107 

acter  which,  though  resisting  ordinary  methods  of  reUef,  promise  a 
rapid  and  permanent  recovery  from  the  use  of  the  waters  of  the 
springs. 

ADMISSIONS    AND    DISPOSITIONS. 

320.  The  authorized  classes  of  patients  are  designated  in  Army 
Reguhitions,  based  on  the  Executive  order  of  August  25,  1892,  supra, 
and  Executive  orders  amendatory  thereof  dated  May  4,  1893,  and 
May  1,  1897,  pubhshed  respectively  in  General  Orders  Nos.  40,  1893, 
and  26,  1897. 

(a)  Admission  to  the  hospital  for  treatment  from  the  classes 
authorized  shall  be  subject  to  such  rules  as  may  be  prescribed  by  the 
War,  the  Navy,  or  the  Treasury  Departments,  respectively.  (Execu- 
tive order,  Aug.  25,  1892.) 

321.  The  admission  of  officers  and  enlisted  men  of  the  Army  on  the 
active  list  and  of  officers  of  the  Army  on  the  retired  list  is  governed  by 
the  provisions  of  Ai-my  Regulations. 

322.  Retired  officers  of  the  Army  under  treatment  may  leave  the 
hospital  at  their  discretion.  They  will  not  remain  in  the  hospital 
longer  than  three  months  without  special  permission  from  the  War 
Department.  When  such  special  permission  is  desired,  the  com- 
manding officer  of  the  hospital  will,  not  later  than  two  weeks  before 
the  end  of  the  three  months,  report  to  The  Adjutant  General  of  the 
Army  the  patient's  condition. 

323.  Enlisted  men  of  the  Army  on  the  retired  list  wiU  be  admitted 
only  upon  permits  issued  by  the  Surgeon  General,  who  will  furnish 
applicants  with  the  necessary  blank  forms  of  application.  They  may 
leave  the  hospital  at  their  discretion.  They  may  be  dismissed  from 
the  hospital  at  the  discretion  of  the  commanding  officer. 

324.  Permits  for  the  admission  of  officers  and  enlisted  men  of  the 
Army  on  the  retired  lists  will  not  be  valid  after  21  days  from  their 
date. 

325.  Officers  and  enlisted  men  of  the  Navy  are  admitted  imder 
regulations  prescribed  by  the  Secretary  of  the  Navy. 

326.  Officers  of  the  Coast  Guard  and  of  the  Public  Health  Service 
are  admitted  on  the  request  of  the  Secretary  of  the  Treasury  to  the 
Secretary  of  War,  and  upon  the  recommendation  of  the  Surgeon  Gen- 
eral of  the  Army. 

327.  Permits  for  the  admission  of  honorably  discharged  soldiers 
and  sailors  of  the  Army  and  Navy  may  be  issued,  when  there  are 
vacant  beds,  by  the  Surgeon  General  of  the  Army,  from  whom  blank 
forms  of  application  can  be  obtained.  These  must  be  properly  ffiled 
in,  giving  all  necessary  information  in  relation  to  the  applicant,  and 
should  be  certified  to  by  a  practicing  physician,  who  should  state  the 
nature  of  the  disability  and  the  probable  period  required  for  hospital 


108  MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

treatment.  These  permits  will  not  be  valid  after  21  days  from  their 
date.  Patients  admitted  under  this  authority  may  be  discharged 
from  the  hospital  by  the  commanding  officer  at  any  time  he  may  deem 
proper.  Expenses  to  and  from  the  hospital  must  be  defrayed  by  the 
applicant. 

SUBSISTENCE. 

328.  The  rations  of  enlisted  men  on  the  active  list  on  duty  or  imder 
treatment,  and  of  members  of  the  Nurse  Corps  on  duty,  at  this 
hospital,  are  commuted  as  prescribed  in  Army  Regulations. 

329.  Enhsted  men  on  the  retired  list  and  honorably  discharged 
soldiers  and  sailors  pay  for  their  subsistence  at  rates  fixed  in  Army 
Regulations. 

330.  Such  officers  as  may  be  under  treatment  when  subsisted  in  the 
hospital  shall  be  subject  to  a  charge  for  subsistence  not  to  exceed 
$1.50  a  day,  to  be  paid  to  the  senior  medical  officer  on  the  last  day  of 
each  month  or  upon  leaving  the  hospital.  (Executive  order,  Aug. 
25,  1892,) 

(a)  Military  or  naval  cadets  shall  in  like  manner  pay  a  subsistence 
charge  not  to  exceed  $1  a  day.  Such  cadets  while  patients  may  have 
the  pri\alege  of  the  officers'  mess,  at  the  discretion  of  the  officer  in 
command.     (Ibid.,  as  amended  by  G.  O.  5,  1894.) 

(h)  Should  an  officer  or  cadet  die  in  the  hospital,  or  should  he  from 
any  cause  fail  to  pay  any  account  for  subsistence  when  due,  this  shall 
be  immediately  reported  by  the  senior  medical  officer  to  the  Surgeon 
General  of  the  Army,  who  shall  certify  the  fact  to  the  Quartermaster 
General  of  the  Army,  to  the  Sm'geon  General  of  the  Navy,  or  to  the 
Secretary  of  the  Treasury,  as  the  case  may  be,  and  the  proper  officers 
of  the  War,  Navy,  or  Treasmy  Departments  shall  take  such  steps  as 
will  promptly  secm'o  to  the  hospital  payment  of  the  amounts  due. 
(Executive  order,  Aug.  25,  1892.) 

331.  The  senior  medical  officer  shall  accomit  monthly  to  the  Sur- 
geon General  of  the  Army  for  all  money  received  or  expended  on 
account  of  officers  and  enlisted  men.     (Ibid.) 

332.  Subsistence  stores  for  use  in  the  officers'  and  enlisted  men's 
messes  may  be  purchased  by  the  officer  in  command  of  the  hospital 
from  such  officers  of  the  Quartermaster  Cor])s  as  the  Quartermaster 
General  may  designate.     (Ibid.) 

DISCIPLINE    OF    PATIENTS. 

333.  The  act  of  March  3,  1909  (35  Stats.,  748;  G.  O.  49  of  1909, 
p.  26),  provides  that: 

All  persons  admitted  to  treatment  in  the  Army  and  Navy  General  Hospital  at  Hot 
Sprinp:8,  Ark.,  shall,  while  patients  in  said  hospital,  be  subject  to  the  rules  and  articles 
for  the  government  of  the  armies  of  the  United  States. 


MANUAL    FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY.  109 

GENERAL  HOSPITAL,   FORT  BAYARD,   N.   MEX. 
ADMISSIONS. 

334.  Under  the  provisions  of  Army  Regulations  the  general  hos- 
pital at  Fort  Bayard,  N.  Mex.,  has  been  set  apart  as  a  sanatorium 
for  the  treatment  of  officers  and  enlisted  men  of  the  Army  who 
are  suffering  from  pulmonary  tuberculosis.  Cases  of  tuberculous 
laryngitis  are  to  be  classed  with  puhnonary  tuberculosis  and  should 
be  sent  to  Fort  Bayard  even  thougli,  as  rarely  happens,  there  is  no 
unmistakable  evidence  that  the  lungs  are  also  involved.  Cases  of 
acute  pleui-isy  with  effusion  will  not  be  sent  to  Fort  Bayard  unless 
there  is  likewise  tuberculous  involvement  of  the  limgs  or  imless  the 
tuberculous  nature  of  the  pleural  disease  is  determined  by  other  facts 
than  the  mere  existence  of  an  effusion.  Cases  of  surgical  tuberculosis 
which  are  believed  to  require  operative  treatment  should  not  be 
sent  to  Fort  Bayard  with  a  view  to  operation.  In  general,  no  cases 
of  surgical  tuberculosis  should  be  sent  to  Fort  Bayard  unless  the 
condition  of  the  patient  is  such  that  benefit  may  be  expected  from 
hygienic  treatment  in  which  outdoor  hfe  plays  a  prominent  part,  or 
in  other  words,  unless  the  patient  is  not  strictly  confined  to  his  bed 
by  the  natui'e  of  his  disease.  Cases  of  tuberculosis  not  involving 
the  respiratory  tract  will  not  be  sent  to  Fort  Bayard  -sdthout  specific 
authority  from  the  War  Department,  for  which  authority  application 
will  be  made  to  The  Adjutant  General  of  the  Aimy,  the  application 
to  be  accompanied  in  ever^^  case  by  a  full  medical  report. 

(a)  The  provision  of  Army  Regulations  as  to  the  responsibihty  of 
the  surgeon  for  the  transfer  of  tuberculous  cases  to  Fort  Bayard 
should  not  be  misunderstood  by  medical  officers.  The  intent  of  this 
provision  is  to  secure  promptitude  in  making  the  diagnosis  and  in 
transferring  early  cases  of  pulmonary  tuberculosis;  it  is  not  the  intent 
of  the  provision  to  direct  the  transfer  of  cases  of  pulmonary  tubercu- 
losis irrespective  of  their  physical  condition. 

(h)  Pulmonary  tuberculosis  is  a  chronic  disease  attended  by  acute 
exacerbations,  in  one  of  which  its  existence  is  usually  detected. 
The  exacerbations  are,  as  a  rule,  attended  by  an  extension  of  the 
tuberculous  involvement.  If  the  exacerbation  is  afight,  or  if  the 
course  of  the  disease  is  of  a  chronic  nature,  there  may  be  no  fever 
or  but  little  fever,  and  the  patient  may  be  able  to  travel  without 
injury.  If,  however,  there  is  a  well-marked  fever  with  other  signs 
of  constitutional  disturbance,  it  is  of  vital  importance  that  the 
patient  be  required  to  rest  until  his  temperature  drops  and  the 
activity  of  the  pulmonary  disease  lessens  or  disappears.  When  such 
evidence  of  improvement  is  apparent  the  patient  may  be  subjected 
to  the  fatigue  of  a  railroad  journey  without  probabihty  of  serious 
harm.     On  the  other  hand,  when  the  disease  is  too  far  advanced  to 


110  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

permit  such  abatement  of  severity  there  are  two  alternatives — the 
progress  toward  death  may  be  continuous  and  rapid  or  a  chronic 
febrile  movement  may  continue  indefinitely.  In  the  former  case 
it  is  useless  to  send  the  patient  to  Fort  Bayard;  in  the  latter  opportu- 
nity to  receive  the  treatment  at  that  hospital  should  be  given  the 
patient,  and  he  should  be  sent  there  if  he  is  beheved  to  have  sufficient 
strength  to  endure  the  journey.  In  the  case  of  a  disease  that  presents 
such  a  variety  of  manifestations  it  is  impossible  to  give  general  instruc- 
tions that  wiU  always  be  fully  appUcable  to  the  individual  patient. 
If  there  is  doubt  as  to  the  course  that  should  be  pursued,  report  of 
the  case  should  be  made  to  the  Surgeon  General  and  instructions 
requested. 

(c)  Since  the  administration  of  tuberculin  by  hypodermic  injection 
may  be  attended  by  grave  dangers  to  the  patient,  except  in  the  hands 
of  those  specially  skiUed  in  diagnosis,  tubercuhn  will  be  used  in  this 
manner  in  the  diagnosis  or  treatment  of  tuberculosis  only  with  due 
care  and  precaution.  The  use  of  tuberculin  to  obtain  the  ophthalmo 
reaction,  being  not  without  danger  to  the  eyes  of  patients,  is  for- 
bidden. 

{d)  The  cutaneous  or  Von  Pirquet  reaction  gives  positive  results  in 
cases  of  inactive  tuberculosis.  No  patient  will  therefore  be  sent  to 
Fort  Bayard,  nor  wiU  the  diagnosis  of  pulmonary  tuberculosis  be  re- 
ported, unless  physical  signs  are  present  which  estabhsh  the  diagnosis. 

335.  Patients  wiU  be  admitted  to  this  hospital  in  the  foUowiag 
order:  Officers  and  enhsted  men  of  the  Army  on  the  active  fist; 
officers  a,nd  enhsted  men  of  the  Army  who  may  be  retired  or  dis- 
charged while  under  treatment  at  this  hospital;  beneficiaries  of  the 
United  States  Soldiers'  Home;  officers  and  enhsted  men  on  the 
retired  list;  officers  and  enlisted  men  of  the  Navy  upon  special 
authority  from  the  Secretary  of  War,  and  such  others  as  may  have 
such  authority  or  that  of  the  Surgeon  General  of  the  Army. 

(a)  The  treatment  of  officers  and  men  of  the  Navy  and  Mariue 
Corps  is  specially  directed  by  the  act  of  March  2,  1907  (34  Stats., 
1172). 

336.  The  transfer  of  officers  and  enhsted  men  of  the  Army  on  the 
active  list  for  treatment  at  Fort  Bayard  is  governed  by  the  express 
provisions  of  Army  Regulations. 

337.  The  Surgeon  General  of  the  Army  is  authorized  to  provide  for 
the  care  and  treatment  of  discharged  soldiers  entitled  to  the  benefits 
of  the  United  States  Soldiers'  Home,  Washington,  D.  C,  whose 
admission  to  the  sanatoriiun  may  be  approved  by  the  board  of 
commissioners  of  the  home. 

338.  Officers  and  enhsted  men  on  the  retired  fist  of  the  Army 
desiring  admission  to  this  hospital  may  make  direct  apphcation, 
accompanied  by  a  medical  certificate,  to  The  Adjutant  General  of  the 
Army  for  the  necessary  permission. 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    AR;V[Y.  Ill 

HOSPITAL    CHARGES. 

339.  Officers  under  treatment  when  subsisted  in  tlie  hospital  wOl 
be  subject  to  a  charge  for  subsistence  not  to  exceed  $1.50  per  day. 

340.  The  expenses  of  maintenance  of  patients  from  the  Soldiers' 
Home  are  paid  by  the  board  of  commissioners  of  the  home  from  the 
Soldiers'  Home  fund. 

341.  The  charge  for  the  subsistence  of  patients  admitted  by  special 
authority  of  the  Secretary  of  War  or  the  Surgeon  General,  including 
Navy  and  Marine  Corps  patients,  will  be,  if  on  the  footing  of  officers, 
$1.50  per  day;  and  if  on  the  footing  of  erdisted  men,  $5  per  week. 

(a)  The  subsistence  charge  in  the  case  of  retired  officers,  retired 
enlisted  men,  and  civilian  employees  admitted  under  the  authority 
of  Ai-m}^  Regulations,  will  be  $1.50  per  day  if  on  the  footing  of  officers, 
and  60  cents  per  day  if  on  the  footing  of  enlisted  men.  (C.  M.  M.  D., 
No.  6.) 

342.  The  commanding  officer  is  authorized  to  charge  civilians  on 
the  footing  of  officers  a  moderate  sum,  proportionate  to  their  means, 
for  attendance  and  nursing.  This  charge  will  not  be  more  than  $1 
a  day,  and  may  be  remitted  in  the  discretion  of  the  commanding 
officer. 

343.  All  moneys  received  under  paragraphs  339,  340,  341,  and  342 
will  be  taken  up  on  the  hospital  fund  account. 

DISCIPLINE    OF    PATIENTS. 

344.  The  act  of  June  12,  1906  (34  Stats.,  255),  provides  that: 

All  persons  admitted  to  treatment  in  the  general  hospital  at  Fort  Bayard,  N.  Mex., 
shall,  while  patients  in  said  hospital,  be  subject  to  the  rules  and  articles  for  the  gov- 
ernment of  the  armies  of  the  United  States. 

OTHER   TUBERCULOSIS    HOSPITALS, 

344^.  The  provisions  of  paragraph  334  will  apply  so  far  as  appro- 
priate to  all  special  hospitals  set  aside  for  the  reception  and  care  of 
tuberculosis  cases.     {C.  M.  M.  D.,  No,  8.) 

MEDICAL  ATTENDANCE. 

(See  Army  Regulations.) 

FAMILIES    OF    OFFICERS    AND    MEN,  DEFINITION. 

346.  For  purposes  of  medical  attendance  under  Army  Regulations, 
the  famil}^  of  an  officer  or  enlisted  man  wiU  be  understood  to  include 
his  wife,  minor  children,  and  other  dependent  members  of  his  house- 
hold, including  servants. 


112  MAIJUAL    FOR   MEDICAL   DEPARTMENT^    U.    S.    ARMl'. 

EMPLOYEES    OF    POST    EXCHANGES. 

346.  Civilians  employed  in  post  exchanges  are  entitled  to  the  same 
medical  and  hospital  attendance  and  the  same  privilege  of  purchasing 
medicines  allowed  employees  paid  from  public  funds. 

PRIVATE    PRACTICE    OF   MEDICAL    OFFICERS. 

347.  If  citizens  residing  in  the  neighborhood  of  a  military  post 
desire  the  professional  attendance  of  an  Army  medical  officer,  it  is 
regarded  as  not  inconsistent  with  the  requirements  of  the  regulations 
governing  the  Army  for  such  officer  to  render  his  services,  when  this 
does  not  interfere  with  the  proper  performance  of  his  official  duties. 
But  the  establishment  of  an  office  outside  of  the  limits  of  a  military 
post  for  the  purpose  of  engagmg  in  civil  practice  is  prohibited. 

CIVILIAN  PHYSICIANS  PRACTICING  ON  MILITARY  RESERVATIONS. 

348.  A  civilian  physician  desuing  to  practice  medicine  on  a  mili- 
tary reservation  must  register  his  name  with  the  post  commander 
and  must  agree,  m  wiiting,  to  observe  the  rules  and  regulations  rela- 
tive to  the  protection  of  the  command  against  infectious  or  epidemic 
diseases  that  may  be  in  force  at  that  time  or  that  may  be  promul- 
gated thereafter.     (See  Appendix:  Civilian  Physicians.) 

349.  Existing  orders  require  that  whenever  a  civilian  physician  is 
summoned  to  take  charge  of  a  case  of  disease  of  an  officer  or  an  en- 
listed man  at  any  garrisoned  post  or  in  the  families  of  officers,  enlisted 
men,  or  civilian  employees  thereat,  the  patient  or  responsible  person 
will  at  the  same  time  inform  the  commanding  officer,, who  will  notify 
the  surgeon. 

(a)  It  will  thereupon  be  the  duty  of  the  surgeon  to  ascertain,  if 
possible  from  the  attending  physician  or  by  personal  exammation  of 
the  patient  if  deemed  necessary,  the  nature  of  the  disease  and,  if  it 
proves  to  be  mfectious  and  a  source  of  danger  to  the  garrison,  he  will 
retain  supervision  of  the  case  and  be  responsible  for  all  measures  of 
isolation,  prevention,  and  disinfection.  If  an  officer  or  enlisted 
man  be  the  patient,  it  will  be  the  duty  of  the  surgeon  in  any  case  to 
report  the  nature  of  the  disease  to  the  post  commander  in  order  that 
the  latter  may,  if  the  interests  of  the  service  demand  it,  require  the 
patient  to  be  placed  under  charge  of  the  surgeon. 

OFFICERS    SICK    IN    QUARTERS. 

350.  Officers  sick  in  quarters  will,  if  able  to  do  so,  report  at  least 
once  each  day  to  the  surgeon  at  the  hospital  for  examination  and 
treatment.  If  unable  to  leave  their  quarters,  the  surgeon  will  visit 
them  there  at  least  once  each  day. 


ARTICLE  v.— DEPARTMENT  LABORATORIES. 


351.  Department  laboratories  are  maintained  for  the  purpose  of 
making  such  examinations  as  can  not  well  be  made  at  the  smaller 
laboratories  of  post  hospitals.  Surgeons  may,  unless  otherwise 
instructed,  send  specimens  for  examination  to  the  nearest  depart- 
ment laboratory,  making  appropriate  explanation  direct  to  the 
officer  in  charge  of  the  laboratory. 

SECRETIONS,  EXCRETIONS,  AND  TISSUES. 

352.  In  forwarding  specimens  to  the  department  laboratories  the 
following  directions  should  be  observed: 

(a)  Blood. — For  agglutmation  tests  blood  should  be  sent  in 
Wright's  capsules,  properly  sealed  and  labeled.  For  identification 
of  typhoid  or  paratyphoid  organisms  blood  should  be  collected  in 
vials  of  ox-bile  medium.  Dried  smears  of  blood  should  be  taken  in 
the  usual  way.  Blood  for  the  complement  fixation  tests  should  be 
sent  in  well-filled  Wright's  capsules.  All  requests  for  complement 
fixation  tests  will  be  made  on  Form  55q  or  Form  55r  and  the  first 
request  in  each  case  will  be  accompanied  by  a  Wassermann  card 
(Form  97),  or  a  gonococcus  fixation  card  (Form  99)  as  the  case  may  be. 

(6)  Feces  and  urine. — For  indentification  tests  for  suspected  organ- 
isms specimens  of  feces  and  urine  should  be  forwarded  in  small, 
sterile  vials.  In  cases  of  suspected  typhoid  or  paratyphoid  fever 
additional  specimens  should  be  sent  in  vials  of  ox-bile  medium. 
Feces  for  examination  for  ova  should  be  mixed  with  an  equal  volume 
of  10  per  cent  solution  of  formalin  and  shipped  in  sealed  vials. 

(c)  Spinal  fluid. — For  bacteriological  or  serological  examinations 
several  cubic  centimeters  of  fluid  should  be  collected  aseptically  and 
sent  in  sterile,  well-sealed  glass  containers.  Cytological  examina- 
tions must  be  made  with  fresh  fluid  at  the  place  of  collection. 

(d)  Sputum,  pusj  or  other  exudfite. — Specimens  should  be  collected 
aseptically  in  sterile  containers  and  sealed  wath  wax  or  paraffin. 

(e)  Stomach  contents. — The  gastric  contents  are  preferably  ob- 
tained one  hour  after  an  Ewald  test  breakfast,  freed  from  gross 
particles  by  straining  or  filtration,  placed  in  clean  bottles  and  shipped 
to  the  laboratory  with  the  least  practicable  delay. 

(/)  Solid    tissues. — Tissues    for    histo-pathological     examination 
should  be  fixed  and  forwarded  in  10  per  cent  formalin  or  in  70  per 
701.56°— 18 8  113 


114  MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

cent  alcohol,  in  sealed  glass  containers.  A  short  clinical  Mstory 
should  accompany  each  specimen.  For  the  identification  of  negri 
bodies  small  smears  should  be  made  by  crushing  sections  of  gray 
matter,  Ammon's  horn  or  cerebellum,  between  slides.  These  smears 
should  be  fixed  while  moist  in  absolute  methyl  alcohol  and  should  be 
sent  in  80  per  cent  ethyl  alcohol.  The  smears  should  not  be  dried. 
Also  if  possible  masses  of  these  nervous  tissues  should  be  placed  in 
bottles  in  pure  glycerin,  sealed  and  forwarded  for  animal  inoculation. 
363.  Wlien  material  is  sent  for  identification  tests  the  causative 
organism  suspected  should  be  specified  in  each  case. 

354.  Special  media  for  cultivation  of  organisms  may  be  obtained 
dii'cct  from  the  laboratories. 

355.  Special  containers  for  the  collection  and  transmission  of 
material  to  the  laboratories  will  upon  request  be  furnished  by  the 
laboratory  to  which  the  material  is  to  be  sent  for  examination. 

(a)  All  bottles  containing  fluid  material  sent  through  the  mails 
must  be  securely  pacl^ed  in  cotton  in  double  containers. 

WATER. 

356.  At  the  time  of  forwarding  the  water  the  officer  to  whom  it  is 
sent  should  be  advised  of  the  following  particulars:  (1)  The  date, 
place,  and  mode  of  shipment;  (2)  the  date  and  place  of  the  collection 
of  the  water;  (3)  the  character  of  the  watershed,  its  topography,  and 
the  uses  to  which  the  country  is  put  if  inhabited;  (4)  the  proximity 
of  houses,  barns,  privies,  or  other  possible  sources  of  contamination 
to  the  place  of  collection  or  the  source  of  supply;  (5)  the  proximity 
of  fertilized  land  to  such  place  or  source,  and  whether  the  said  land 
is  higher  or  lower  than  the  adjacent  land;  and  (6)  such  other  infor- 
mation as  may  suggest  a  possible  deleterious  influence  on  the  purity 
of  t*lie  water.  If  the  water  is  from  a  well  the  letter  should  report  the 
depth  of  the  well,  the  strata  found  in  diggmg  or  boring  it,  and  the 
depth  of  the  water  in  the  well. 

357.  The  specimens  should,  when  practicable,  be  collected  by  a 
medical  officer.  If  the  water  to  be  examined  is  delivered  through 
pipes  or  is  pumped  from  a  well  or  cistern,  the  local  supply  pipe  and 
all  pump  coimections  should  be  emptied  by  allowing  the  water  to 
run  for  15  minutes  before  taking  the  samples. 

358.  Bacteriological  examinations. — Samples  of  water  for  bacterio- 
logical examination  should  be  collected  in  bottles  furnished  for  the 
purpose.  Each  Dottle  is  sterilized  before  leaving  the  laboratory, 
and  the  glass  stopper  is  protected  by  a  piece  of  heavy  sterilized  muslin 
securely  wired  to  the  neck  of  the  bottle.  The  stopper  should  not  be 
removed  until  immediately  before  the  bottle  is  filled. 

(a)  In  taking  specimens  from  a  faucet  or  pump  (after  emptying  the 
supply  pipes  and  connections  conformably  to  par.  357)  a  smaU,  gentle 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  115 

stream  should  be  allowed  to  flow,  the  stopper  taken  out,  the  bottle 
grasped  near  the  bottom,  held  in  an  upright  position,  and  the  stream 
permitted  to  flow  into  the  bottle  until  it  is  filled  to  the  shoulder.  The 
stopper  should  then  be  replaced;  both  it  and  the  cloth  should  be 
secured  by  canying  the  wire  several  times  around  the  neck  of  the 
bottle  and  twisting  the  ends  tight.  The  stopper  must  be  handled 
only  by  the  square  cloth-covered  top.  The  lip  of  the  bottle  must  not 
be  brought  in  contact  with  the  faucet  or  spout,  nor  should  the  neck 
of  the  bottle  or  naked  part  of  the  stopper  be  permitted  to  come  in 
contact  with  any  object  during  the  manipulation.  The  projecting 
flange  is  designed  to  protect  the  plug  of  the  stopper,  which  it  will  do 
if  the  stopper,  after  withdrawal,  is  held  by  the  top  in  a  vertical 
position.  The  stopper  should  not  be  laid  down  and  the  cloth  should 
not  be  handled  by  the  fingers  except  in  the  act  of  securing  the  wire 
about  it.  When  well  water  is  to  be  examined  the  bottle  should  be 
filled  directly  from  the  bucket  constantly  in  use  for  drawing  the  water, 
and  from  no  other  vessel. 

(h)  On  account  of  the  labor  involved  and  the  possibility  of  error, 
bacteriological  examinations  of  water  collected  in  any  other  than  the 
prescribed  receptacles  will  not  be  made. 

(p)  Each  package  should  be  plamly  marked  to  show  the  source 
from  which  the  sample  is  taken  and  the  date  of  collection. 

(d)  The  case  should  be  marked,  ''Water  for  bacteriological  exami- 
nation," and  it  should  be  forwarded  by  mail  at  the  earliest  moment. 
(See  par.  355a.) 

359.  Chemical  examinations. — The  quantity  of  water  forwarded  for 
chemical  examination  should  be  not  less  than  3  liters.  The  recep- 
tacles for  transporting  it  should  be  chemically  clean,  and  all  vessels 
used  in  its  collection  should  be  as  clean  as  it  is  possible  to  make  them. 

(a)  Glass-stoppered  bottles  of  suitable  size  are  best  adapted  for  the 
preservation  of  a  sample  of  water  in  its  original  condition.  In 
pouring  the  water  into  bottles  it  should  not  come  into  contact  with 
the  hands  of  the  operator  or  with  anything  not  essential  to  the 
operation.  Bottles  should  be  filled  to  within  an  inch  of  the  stoppers  ; 
the  stoppers  should  be  carefully  rinsed  and  inserted  and  secured  with 
a  canvas  cover  tied  tightly  around  the  neck  of  the  bottle.  Sealing 
wax  or  similar  material  should  not  be  used  to  secure  the  stoppers. 

(6)  If  no  proper  receptacles  are  available  at  the  post  or  camp,  suit- 
able bottles  may  be  obtained  upon  application  to  the  officer  to  whom 
the  specimens  are  to  be  sent  for  analysis.  Bottles  so  obtained  should 
when  filled  be  repacked  in  the  box  in  which  they  came,  reversing  the 
cover,  which  should  have  the  laboratory  address  thereon.  The 
package  should  be  tagged  or  labeled  to  show  the  place  and  date  of 
collection. 


116  MAXUAL   FOR  MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

(c)  Water  for  cliemical  analysis  should  be  shipped,  immediately 
after  its  collection,  by  express.  A  Medical  Department  bill  of  lading 
will  be  made  for  each  such  shipment  and  the  carrier's  signature  taken 
thereto  upon  turning  over  the  package  for  transportation. 

Until  a  special  form  shall  have  been  provided  therefor  Form  153, 
Q.  M.  C,  may  be  adapted  to  the  purpose  by  altering  the  symbol 
"W.  Q."  in  the  upper  right-hand  corner  to  read  "W.  Medical," 
followed  by  the  number  of  the  bill.  The  consignor  should  in  eveiy 
case  fill  out  the  instructions  for  billing  at  the  foot  of  the  bill  of  lading, 
specifying  therein  that  the  freight  charges  are  to  be  vouched  to  the 
Surgeon  General,  Washington,  D.  C,  and  should  immediately  mail 
the  bill  to  the  consignee,  who  will  upon  receipt  of  the  articles  accom- 
plish the  bill  and  surrender  it  to  the  carrier.  The  consignor  should  at 
the  time  of  shipment  furnish  the  carrier  with  a  shipping  order  (Form 
156,  Q.  M.  C),  and  mail  a  memorandum  of  the  bill  of  lading  (Form 
154,  Q.  M.  C),  to  the  Surgeon  General,  with  information  as  to  the 
purpose  of  the  shipment  unless  the  same  is  clearly  revealed  by  entries 
on  the  bill. 

360.  Upon  completion  of  an  examination  of  water  (chemical  or 
bacteriological)  the  officer  makmg  it  will  report  the  results  thereof  to 
the  officer  who  asked  for  it  and  will  at  the  same  time  furnish  a  copy 
of  such  report  direct  to  the  Surgeon  General,  with  a  copy  of  the  letter 
called  for  by  paragraph  356. 


ARTICLE  VI.— DUTIES  OF  MEDICAL  OFFICERS. 


GENERAL. 


361.  Certain  responsibilities  and  duties  in  addition  to  those 
incident  to  the  practice  of  medicine  devolve  upon  a  medical  officer 
by  virtue  of  his  commission  as  an  officer  of  the  Army.  These 
responsibilities  and  duties  may  be  grouped  under  two  general  heads: 
(1)  Advisory;  (2)  administrative.  The  former  includes  the  duties 
of  the  staff  officer  to  his  commander,  the  latter  the  duties  of  an 
organization  or  detachment  commander  to  his  superiors  and  to  the 
detachment  or  organization  which  he  commands.  For  example;  the 
duties  of  sanitary  inspectors  are  advisory;  those  of  the  commanding 
officers  of  general  hospitals  are  administrative;  while  the  duties  of  post 
surgeons  are  both  advisory  and  administrative. 

362.  The  duties  of  a  medical  officer  acting  in  an  advisory  capacity 
are,  in  general,  as  follows: 

(1)  To  keep  himself  informed  of  existing  conditions  and,  especially 
in  the  case  of  a  moving  command,  of  conditions  that  may  be  antici- 
pated, which  have  a  bearing  upon  the  health  and  physical  efficiency 
of  the  command. 

(2)  To  communicate  to  his  commander  such  of  this  information  as 
has  a  bearing  upon  military  administration  and  to  recommend  such 
measures  as  the  surgeon  deems  advisable  to  meet  the  existing  or 
anticipated  conditions.  The  scope  of  the  information  reciuired,  and 
of  the  field  which  recommendations  must  cover,  varies  greatly.  It 
includes  the  training  of  the  command  in  matters  of  personal  hygiene 
and  military  sanitation;  the  provision  of  facffities  for  maintainmg 
good  sanitary  conditions;  and,  in  so  far  as  they  have  a  bearing  upon 
the  physical  condition  of  the  troops,  the  equipment  of  individuals 
and  organizations,  the  condition  of  buildings  or  other  shelter  occupied 
by  troops,  the  character  and  preparation  of  food,  the  suitabihty  of 
clothing,  the  disposal  of  waste,  and  the  disposition  of  the  sick  and 
wounded  including  action  on  requests  for  leuve  or  furlough  on 
account  of  sickness. 

(3)  To  make  prescribed  reports  and  returns  and  to  take  such 
action  on  the  reports  and  returns  of  his  subordinates  as  may  be 
required  by  existing  regulations. 

(4)  To  perform  such  other  duties  as  may  be  required  of  him  by 
superior  authority. 


118  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

(a)  Wliile  medical  officers  acting  as  technical  advisors  of  their 
commanders  are  responsible  for  pointing  out  unsanitary  conditions 
and  making  proper  recommendations  for  their  correction,  the  direct 
responsibility  rests  with  the  commander.  If,  however,  the  com- 
mander authorizes  the  medical  officer  to  give  orders  in  his  name  for 
the  correction  of  defects,  then  the  duties  and  responsibilities  of  the 
latter  are  correspondingly  increased. 

363.  jMedical  officers  acting  in  an  administrative  capacity  are 
directly  responsible  for  the  condition  and  efficiency  of  their  com- 
mands. Their  duties  are  similar  in  character  to  those  of  adminis- 
trative officers  of  the  line  of  the  Army.  More  specifically  they  are 
charged  with  the  following: 

(a)  The  training,  discipline,  efficiency,  and  assignment  to  duty  of 
the  personnel  wliich  they  command  and  the  supervision  of  the  inter- 
nal economy  of  their  organizations. 

(b)  The  maintenance  of  equipment  in  proper  condition  by  requi- 
sition for  supplies  needed  and  by  proper  care  of  property  on  hand. 

(c)  The  keeping  of  the  prescribed  records  and  the  making  of  the 
prescribed  reports  and  returns. 

(d)  The  performance  of  such  other  duties  as  may  be  required  of 
them  by  superior  authority. 

DEPARTMENT   SURGEONS. 

364.  A  department  surgeon  is  chiefly  an  advisory  officer;  but  in 
certain  matters  pertaining  exclusively  to  the  activities  of  the  sanitary 
service  within  his  department  he  acts  in  an  administrative  capacity. 
His  general  duties  under  these  two  heads  are  given  in  paragraphs 
361,  362,  and  363. 

365.  In  time  of  peace  the  special  duties  of  a  department  surgeon 
are : 

(a)  To  report  on  the  efficiency  of  each  medical  officer  serving  in 
the  department. 

(b)  To  authorize  enlistments  in  the  Hospital  Corps. 

(c)  To  recommend  transfers  to  the  Hospital  Corps  from  the  line. 

(d)  To  supervise  the  examination  of  corporals,  privates  first  class, 
and  privates  of  the  Hospital  Corps  for  appointment  as  sergeant 
therein. 

(e)  To  promote  members  of  the  Hospital  Corps  to  the  grade  of 
private  first  class,  lance  corporal,  and  corporal  therein. 

(/)  To  recommend  the  transfer  of  members  of  the  Hospital  Corps 
from  post  to  post. 

(g)  To  supervise  the  instruction  of  the  Hospital  Corps. 

(h)  To  reconunend  appropriate  action  on  estimates  for  the  con- 
struction and  repair  of  hospitals,  of  quarters  for  sergeants  first  class, 
Hospital  Corps,  and  of  other  buildings  of  the  Medical  Department. 


MANUAL  FOB  MEDICAL  DEPARTMENT,  U.   S.   ARMY.  119 

(i)  To  examine  requisitions  for  medical  and  hospital  supplies  and 
to  take  appropriate  action  thereon  as  indicated  hereinafter  in  the 
article  on  supplies, 

(j)  To  give  authority  under  Army  Regulations  for  the  presenta- 
tion of  unserviceable  medical  property  to  an  inspector  for  condem- 
nation. 

(k)  To  recommend  appropriate  disposition  of  condemned  medical 
property  on  inventory  and  inspection  reports  referred  to  him  for 
remark. 

(I)  To  supervise  the  distribution  of  field  medical  supplies  within 
his  department  in  conformity  with  paragraphs  504  to  506. 

(w)  To  act  on  accounts  for  supplies  purchased  for,  or  services 
rendered  to,  the  Medical  Department. 

(n)  To  act  on  accounts  of  civilians  for  the  medical  care  and  treat- 
ment of  persons  entitled  thereto  at  the  expense  of  the  United  States. 

(o)  To  examine  and  audit  the  statements  of  the  hospital  fund,  to 
which  end  he  should  verify  the  vouchers  therewith  and  ascertain  the 
propriety  of  the  expenditures  vouched  for. 

366.  In  time  of  war  or  when  war  is  imminent  department  surgeons 
are  charged,  in  addition  to  the  duties  prescribed  for  time  of  peace, 
with  the  supervision  of  the  sanitary  service  in  connection  with  the 
mobilization  of  the  Organized  Militia,  or  volunteer  forces,  within 
departmental  limits.     (See  par.  594.) 

367.  Whenever  he  deems  it  necessary  the  department  surgeon 
should  request  an  order  for  the  department  sanitary  inspector  to 
inspect  the  posts  in  his  department. 

368.  So  far  as  he  has  authority  each  department  surgeon  will  take 
final  action  on  all  letters,  papers,  reports,  and  returns  referred  to  or 
received  by  him;  he  should  not  forward  them  unless  they  require 
action  by  higher  authority. 

(a)  He  should  list  the  reports  and  returns  periodically  required 
from  medical  officers  under  his  supervision,  should  check  them  off 
as  they  are  received,  and  note  their  disposition  as  they  are  dis- 
posed of. 

(6)  Reports  and  papers  en  route  to  higher  authority  which  call 
for  no  special  action  at  his  hand,  including  personal  reports  of  med- 
ical officers,  reports  of  sick  and  wounded,  and  returns  of  the  Hospital 
Corps,  need  not  be  formally  indorsed;  but  they  should  receive  his 
office  stamp  before  transmittal. 

(c)  An  appropriate  correspondence  record  should  be  made  of  the 
action  taken  by  him  on  all  papers  requiring  special  action. 

369.  The  department  surgeon  will  keep  and  turn  over  to  his  suc- 
cessor a  record  of  correspondence  and  document  file  conformably  to 
existing   orders    (see  Appendix:  Records   and    Correspondence);  also 


120  MANUAL   FOB   MEDICAL  DEPARTMENT,    U.    S.    ARMY. 

complete  files  of  orders  and  circulars  and  of  all  reports  and  returns 
upon  which  he  takes  fhial  action.     (See  par.  402.) 

(a)  For  ready  reference  he  will  also  keep  m  his  office,  on  Form  70, 
a  du-cctory  of  the  medical  personnel  under  his  supervision. 

370.  Within  one  month  after  the  end  of  every  calendar  year  the 
department  surgeon  will  mail  direct  to  the  Surgeon  General  a  report 
settmg  forth  in  general  terms  all  matters  of  professional  interest 
arising  in  the  department  during  the  year,  and  particularly  such  as 
will  enable  the  Surgeon  General  hi  preparing  his  annual  report  to  the 
Secretary  of  War  to  make  proper  comparisons  of  the  several  military 
]iosts  m  respect  to  their  health  and  sanitary  condition.  The  report 
will  mclude,  fu-st,  a  discussion  of  the  sickness  and  mortality  of  troops 
serving  in  the  department,  as  a  whole'  and  by  posts,  noting  the  char- 
acter and  causes  of  preyailing  diseases,  their  relative  prevalence  at 
different  posts,  theh  connection  with  insanitary  conditions,  if  any, 
and  the  measures  taken  for  their  prevention;  second,  a  discussion 
of  the  sanitation  of  each  post  m  the  department,  notmg  under 
this  head  any  unportant  changes  in  sanitary  conditions  during  the 
year,  and  commentmg  upon  the  sanitary  defects  observed  at  annual 
inspections  or  reported  m  the  post  sanitary  reports,  with  appropriate 
remarks  concerning  the  recommendations  made  and  the  action  taken 
for  the  correction  of  the  same  (see  par.  420);  and  third,  a  discussion 
of  the  efficiency  of  the  sanitary  troops  m  his  department  m  relation 
to  their  preparedness  for  war,  notmg  their  trainmg,  equipment,  and 
adequacy,  and  giving  a  detailed  statement  of  the  department  sur- 
geon's plans  for  assigimient  of  Medical  Department  personnel  and 
materiel  in  the  event  of  mobilization  of  the  troops  of  his  department. 

DEPARTMENT   SANITARY  INSPECTORS. 

371.  The  duties  of  the  sanitary  inspector  of  a  department  are: 

(a)  To  serve  as  assistant  to  the  deijartment  surgeon  and  to  assume 
the  duties  of  that  officer  when  the  latter  is  absent. 

(b)  To  have  charge,  under  the  direction  of  the  department  surgeon, 
of  all  matters  relatmg  to  the  sanitary  care  of  troops. 

(c)  To  scrutmize  the  sanitary  reports  rendered  by  medical  ofiicei-s 
conformably  to  Army  Regulations. 

(d)  To  recommend  the  issue,  at  jn-oper  tunes,  of  orders  containing 
specific  mstructions  regarding  hygienic  and  sanitary  matters. 

(e)  To  proceed,  when  authorized,  to  pomts  threatened  by  seriously 
insanitary  conditions  for  the  purpose  of  studymg  such  conditions  and 
of  recommending   and   supervismg   measures   for   their   correction. 

(See  par.  367.) 

(/)  To  make  himself  thoroughly  familiar  with  the  sanitary  condi- 
tions at  and  near  each  pomt  within  the  jmisdiction  of  the  department 
commander  where  troops  are  stationed. 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  121 

(g)  To  make  himself  thoroughly  familiar  with  the  amount  and  char- 
acter of  field  equipment  and  supplies  pertaining  to  the  sanitary  serv- 
ice at  each  post  in  the  department,  and  to  assist  the  department 
surgeon  in  formulating  such  plans  for  mobilization  as  will  result  in 
the  sanitary  troops  arriving  at  their  concentration  camps  equipped 
as  prescribed  in  regulations. 

(h)  To  make  annual  inspections  at  such  garrisoned  stations  as  the 
department  commander  shall  designate. 

INSPECTIONS. 

372.  The  sanitary  inspections  referred  to  in  section  (h)  of  the  pre- 
cedmg  paragraph  are  of  two  kinds :  ( 1 )  Those  pertaining  to  sanitation, 
and  (2)  those  relating  to  the  administration  of  the  Medical  Depart- 
ment. 

373.  Inspections  of  the  first  class  should  cover  all  matters  pertain- 
ing to  the  hygiene  and  sanitation  of  the  command,  including  the 
efficiency  of  the  measures  for  protection  of  the  command  against 
epidemic  diseases,  especially  smallpox,  typhoid  fever,  and  venereal 
contagions. 

(a)  Reports  of  these  inspections  will  include  recommendations  as 
to  appropriate  remedial  measures  for  conditions  needing  correction. 
They  will  be  made  in  dupUcate.  The  original  will  be  forwarded 
promptly  to  the  Surgeon  General  through  military  channels;  the 
other  copy  will  be  filed  m  the  office  of  the  department  surgeon. 
In  addition  the  insjijgctor  will,  on  completion  of  an  inspection  at  any 
point,  furnish  the  local  commander  a  written  statement  of  all  irregu- 
larities and  deficiencies  observed. 

374.  Inspections  of  Medical  Department  administration  should 
include  the  following  points: 

(1)  Hospital  administration,  including  the  care  of  the  sick,  cleanli- 
ness, neatness  and  order  of  hospital  buildings  and  grounds ;  character, 
sufficiency,  care,  and  issues  of  medical  supplies;  records;  hospital 
fund;  mess  management. 

(2)  State  of  instruction,  discipline,  adequacy,  and  efficiency  of  the 
personnel  of  the  Medical  Department. 

(3)  Preparedness  for  field  service,  including  the  character,  care, 
and  sufficiency  of  equipment,  supplies,  and  means  of  transportation. 

(4)  Any  other  matters  which  pertain  to  the  Medical  Department 
of  the  Army. 

(a)  Reports  of  these  inspections  will  be  forwarded  through  military 
chamiels  to  the  Surgeon  General.  A  duplicate  will  be  filed  in  the 
office  of  the  department  surgeon.  In  addition  the  inspector  will 
forward,  through  military  channels,  to  the  commanders  of  the  Medi- 
cal Department  organizations  concerned,  a  written  statement  of  aU 


122  MANUAL   FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

irregularities  and  deficiencies  observed.  These  officers  will,  without 
delay,  report  by  indoi'sement  thereon  what  remedies  they  have 
applied  or  will  apply  to  correct  each  of  the  irregularities  or  defects 
noted. 

ATTENDING   SURGEONS. 

376.  The  Surgeon  General  will  recommend  the  assignment,  as 
attending  surgeons  in  the  principal  medical  centers  of  the  United 
States,  of  medical  officers  who  have  not  yet  passed  their  examina- 
tion for  promotion  to  a  majority,  and,  so  far  as  may  be  practicable, 
in  the  order  of  their  seniority.  These  details  will  be  made  for  not 
more  than  one  year  in  order  that  as  many  medical  officers  as  pos- 
sible may  be  enabled  to  avail  themselves  of  the  opportunities  thus 
afforded  for  making  themselves  familiar  with  the  practice  of  the  lead- 
ing physicians  and  surgeons  in  tliis  country,  and  of  attending  medical 
lectures,  meetings  of  medical  societies,  etc.  At  the  end  of  this  tour 
of  duty  medical  officers  are  required  to  make  a  detailed  report  to  the 
Sui'geon  General  showing  how  much  of  their  time  has  been  occupied 
by  their  official  duties  and  to  what  extent  they  have  availed  them- 
selves of  the  advantages  offered  for  professional  advancement. 

376.  An  officer  on  duty  as  attending  surgeon  will  select  an  office 
houi*  between  the  hours  of  9  a.  m.  and  4  p.  m.,  and  will  remain  in  his 
office  during  this  hour,  imless  called  away  by  an  urgent  professional 
engagement.  He  will  inform  all  officers  on  duty,  and  all  officers  on 
the  retired  list  living  in  the  city,  of  his  office  and  residence  address 
and  office  hour,  and  of  any  changes  therein;  ^o  of  his  departure 
should  he  leave  station  in  obedience  to  orders  or  otherwise,  giving  the 
name  and  address  of  his  successor,  or  relief  should  one  have  been 
designated.  He  will  be  careful  not  to  allow  anything  to  interfere  with 
the  proper  performance  of  his  duties  as  attending  surgeon. 

DISBURSING  OFFICERS. 

377.  Officers  detailed  as  disbursing  officers  of  the  Medical  Depart- 
ment wall,  unless  otherwise  instructed,  pay  accounts  against  the 
Medical  Department  incurred  by  them.  They  will  pay  accounts 
incurred  by  other  officers  only  when  authorized  so  to  do  by  the 
Surgeon  General. 

378.  Medical  Department  disbursing  officers  will  forward  with  every 
voucher  paid  by  them  for  supplies,  except  supply  vouchers  specially 
referred  to  them  by  the  Surgeon  General  for  payment,  an  invoice  of 
articles  purchased,  Form  12;  but  no  invoice  is  required  for  prescrip- 
tion charges  paid  for  on  Forms  352,  353,  355,  and  377,  W.  D. 

379.  Disbursing  officers  of  the  Medical  Departfnent,  who  receive 
communications  concerning  their  medical  money  accounts  direct  from 
the  Auditor  for  the  War  Department  will  immediately  refer  the  same 


MANUAL  FOB  MEDICAL  DEPARTMENT,   U.    S.   ARMY.  123 

or  send  copies  thereof  to  the  Surgeon  General,  who  will  give  instruc- 
tions in  the  premises  if  any  are  required.  Should  reply  to  the 
Auditor  be  appropriate  it  will  be  made  by  the  Surgeon  General  or  be 
transmitted  tlirough  his  office. 

MEDICAL   SUPPLY  OFFICERS. 

(See  par.  476.) 

380.  Officers  in  charge  of  medical  supply  depots  will  procure,  safe- 
guard, and  issue  medical  and  hospital  supphes  as  authorized  and 
directed  by  competent  authority. 

(a)  They  will  keep  the  following  records  and  files  and  turn  them 
over  to  their  successors:  Of  correspondence  as  indicated  in  paragraph 
402,  of  funds  received  and  expended,  of  purchase .  orders  given  for 
medical  and  hospital  supphes  (includmg  contracts),  of  articles 
received,  of  articles  expended,  of  requisitions,  of  issues,  of  articles 
on  hand,  of  invoices  of  packages  turned  over  to  the  Quartermaster 
Corps,  of  contents  of  packages,  and  of  employees. 

(h)  They  "svill  forward  a  property  retm-n  on  Forms  17,  17a,  and  17c 
at  the .  end  of  each  quarter,  retaining  a  duplicate  thereof  with  a 
complete  set  of  vouchers. 

(c)  They  will  make  such  other  reports  and  returns  as  the  Surgeon 
General  may  from  time  to  time  require. 

MEDICAL  OFFICERS   OF  THE  TRANSPORT   SERVICE. 

381.  The  duties  of  the  medical  superintendents  of  the  transport 
service  and  of  the  surgeons  of  transports  are  prescribed  in  the  Army 
Transport  Service  Regulations. 


ARTICLE  YII.— PHYSICAL  EXAMINATIONS. 


CADET   CANDIDATES   AND   CADETS. 

382.  Candidates  selected  for  appointment  to  the  Military  Academy 
must,  before  their  admission,  conformably  to  regulations  for  the 
academy,  appear  for  mental  and  physical  examination  before  boards 
of  Army  officers  convened  for  the  purpose  at  times  and  places  desig- 
nated by  the  War  Department.  The  constitution  of  the  boards  and 
their  procedure  are  regulated  by  orders  issued  from  time  to  time  by 
the  War  Department.  (See  Appendix:  PJiysical  Examinations — Ca- 
det candidates.) 

383.  The  physical  examination  of  cadets  made  annually  after 
admission  and  on  graduation  pertains  to  the  interior  administration 
of  the  academy  and  is  governed  by  the  regulations  for  the  academ.y. 

CANDIDATES   FOR   COMMISSION. 

384.  The  physical  examination  of  candidates  in  civil  life,  and 
soldier  candidates,  for  appointment  to  the  grade  of  second  lieutenant, 
is  governed  by  regulations  published  froni  time  to  time  in  general 
orders.  Appointments  in  the  Medical  Corps  are  subject  to  the 
physical  examination  indicated  in  paragraphs  5a  and  9a  of  this 
Manual;  in  the  Medical  Reser^^e  Corps  to  the  examination  indicated 
in  paragraphs  14,  I6h,  and  17;  in  the  Dental  Corps  to  the  examination 
indicated  in  paragraph  28.  (See  Appendix:  Plnjsical  Examinations — 
Candidates  for  commission  in  U.  S.  Army,) 

385.  For  the  purpose  of  securing  a  list  of  persons  specially  qualified 
to  hold  commissions  in  any  volunteer  force  which  may  be  called  for 
and  organized  under  the  authority  of  Congress  boards  of  officers  are 
convened  by  the  Secretary  of  War  to  examine  applicants  from  civil 
life  and  from  the  Army.  The  constitution  of  the  boards  and  the 
physical  requirements  for  applicants  are  prescribed  in  general  ordcre. 
(See  Appendix:  Physical  Examinations — Candidates  for  commission 
in  the  Volunteers.) 

124 


MANUAL    FOR    MEDICAL    DEPARTMENT,    U,    S.    ARMY.  125 

OFFICERS— EXAMINATIONS  FOR  PROMOTION,  RETIRE- 
MENT, LEAVE  OF  ABSENCE,  THE  AVIATION  SERVICE, 
AND   ANNUAL  EXAMINATIONS. 

386.  The  physical  examination  of  ofRcers  for  promotion  is  a  part 
of  their  general  examination,  and  is  governed  by  regulations  pub- 
lished from  time  to  time  in  general  orders.  (See  Appendix:  Officers — 
Examination  of,  for  promotion.) 

387.  Regulations  for  the  examination  of  officers  for  retirement 
appear  in  the  Manual  for  Courts-Martial,  Courts  of  Inquiry,  and 
Retiring  Boards. 

388.  The  physical  examination  of  officers  upon  their  appUcation  for 
sick  leave  of  absence  is  governed  by  express  provisions  in  Army 
Regulations. 

389.  Applicants  for  detail  in  the  Aviation  Service  of  the  Army  are 
required  to  submit  to  a  special  physical  examination,  the  require- 
ments of  which  are  published  from  time  to  time  in  general  orders. 
(See  Appendix:  Physical  Examinations — Aviation  Service.) 

390.  The  requirements  of  the  amiual  physical  examination  pre- 
scribed for  all  commissioned  officers  are  published  from  time  to  time 
in  general  orders.     (See  Appendix:  Physical  Examinations — Officers.) 

APPLICANTS  FOR  ENLISTMENT. 

391.  The  physical  examination  of  applicants  for  enlistment  is  con- 
ducted in  accordance  with  Rules  for  the  Examination  of  Recruits  and 
instructions  supplementary  thereto  pubhshed  in  general  orders  from 
time  to  time.     (See  Appendix:  Physical  Examinations — Applicants 

for  enlistment.     See  also  Army  Regulations.) 

ENLISTED       MEN— RECRUITS,      DESERTERS,      FOR      DIS- 
CHARGE,  FOR  AVIATION   SERVICE. 

392.  The  personal  identification  record  of  recruits  (finger-print  and 
photographic  system)  is  made  under  orders  issued  from  time  to  time 
by  the  War  Department.     (See  Appendix:  Identification  Recor^ds.) 

393.  The  physical  examination  of  apprehended  and  surrendered 
deserters  is  governed  by  Army  Regidations.  The  form  of  certificate 
required  is  given  in  the  Manual  for  Courts-Martial. 

394.  The  ph3rscial  examination  of  enlisted  men  for  discharge  on 
account  of  disabihty  is  subject  to  the  provisions  of  Army  Regulations, 
and  of  instructions  issued  from  time  to  time  in  general  orders.  (See 
Appendix:  Discharge  of  Enlisted  Men.) 

395.  A  special  physical  examination  is  prescribed  in  general  orders 
for  certain  enlisted  men  of  the  Aviation  Section  of  the  Signal  (^orps. 
(See  Appendix:  Physical  Examinations — Aviation  Service.) 


126  MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

OTHER  EXAMINATIONS. 

396.  Other  physical  examinations  are  regulated  as  follows:  For 
appointment  as  acting  dental  surgeon,  paragraph  24a,  this  Manual; 
for  appointment  in  the  Nurse  Corps,  paragraph  63,  this  Manual;  at 
the  station  where  a  member  of  the  Nurse  Corps  first  reports  for  duty, 
paragraph  74a,  this  Manual;  for  admission  to  the  Government  Hos- 
pital for  the  Insane,  Army  Regulations;  for  admission  to  the  Ai-my 
and  Navy  General  Hospital  at  Hot  Springs,  Ark.,  Army  Regulations; 
for  admission  to  the  general  hospital  at  Fort  Bayard,  N.  Mex.,  para- 
graph 334  of  this  Manual,  and  Army  Regulations;  for  officers  and 
enhsted  men  of  the  Organized  Mihtia  when  called  into  the  service  of 
the  United  States,  Army  Regulations:  Militia,  Organized — PTiysical 
examinations. 

VISION,    COLOR   SENSE,   AND  HEARING. 

397.  The  methods  of  determining  and  recording  acuity  of  vision, 
color  sense,  and  acuity  of  hearing  prescribed  in  orders  and  instruc- 
tions relating  to  the  examination  of  recruits  will  be  followed  as  far 
as  practicable  in  conducting  all  other  tests  of  vision  and  hearing  in 
the  Army.  (See  Appendix:  Physical  Examinations — Vision,  color 
sense,  and  hearing.) 


in 


\»t'ft 


ARTICLE        Vm.— REPORTS,        RETURNS,        AND 

RECORDS. 


UST   OF  RKPORTS  AND   RETURNS. 

398.  The  following  table  includes  the  usual  reports  and  returns 
required  of  officers  of  the  Medical  Department  in  time  of  peace  (for 
reports  made  under  field-servace  conditions  only,  see  par.  558) : 


Name  of  report,  etc. 


(a)  Daily. 

(1)  Surgeon's  monung  report  of 

sick. 

(2)  Morning  report,  detachment 

of  Hospital  Corps. 

(3)  Daily  sick  report,  detach- 

ment of  Hospital  Corps . 

(6)  Teemonthly. 

(1)  Trimonthly  report  of  enlist- 
ments. 


(c)  Monthly. 

(1)  Personal  report  of  medical 

officer,  dental  surgeon, 
acting  dental  surgeon,  or 
contract  surgeon. 

(2)  Return    of    the    Hospital 

Corps. 

(3)  Efficiency  report  of  nurses. . 

(4)  Returnof  the  Nurse  Corps. 

(5)  Pay  rolls,  enlisted  men 


(6)  Pay    roll.    Army    Nurse 

Corps. 

(7)  Ration  return   of  matron 

and  others  rationed  sepa- 
rately. 

(8)  Voucher  for  commutation 

of  rations  of  enlisted  men. 
Army  Nurse  Corps,  etc., 
in  hospital. 

(9)  Statement  of  hospital  fund 

(10)  Report  of  sick  and  wound- 

ed. 

(11)  Report  of  dental  work. . ., , 


(12)  Sanitary  report. 


(13)  Report  of  medical  exami- 
nation of  appUcants  for 
emJistment. 


Form  No. 


71,  M.  D. 


332,  A.  G.  O. 
339,  A.  G.  O. 

18A.  G.  O.. 


Letter. 


47a,  M.D. 


62,  M.  D . 


63, M.D 

366,  W.  D.;  366a, 

W.  D. 
334,  W.  D.;  334o, 

W.  D. 
223,  Q.  M.C 


351,  W.  D. 


49,  M.D 

51,  M.  D.;  51a,  M. 

t).;  516,  M.  D.; 

52,  M.  D. 
57,M.D 


50  M.  D . 


265,  A.  G.  O. 


Num- 
ber of 
copies. 


2orl 


To  whom  sent. 


CO. 


.do. 


Remarks. 


Kept  at  hospital. . 


1  to  The  A.  G.;  1 
retained. 


2toS.  G.  through 
D.  S.  or  1  direct. 

Ito  S.G.  through 
D.S.  ordirect;  1 
retained. 

Ito  D.  S.  or  to  S. 
G.;  1  retained. 

do 

3toC.  O 

2topayingQ.M.; 

1  retained. 
Ito  C.  0.;  memo. 

kept  at  hospital. 

2toC.  0..„ 


1  to  D.  S.  or  to  S. 
G.;  1  retained. 

1  to  S.  G.  through 
D.  S.  or  direct; 
1  retained. 

1  to  S.  G.  through 
medical  chan- 
nels; 1  retained. 

1  to  The  A.  G. 
through  military 
channels;  1  re- 
tained. 

1  to  The  A.  G.;  1 
retained. 


Made   after  sick  call. 
Returned  by  the  ad- 
j  utant  to  the  hospital 
Do. 


At  recruit  depots  and 
depot  posts  made  by 
commanding  officer. 
At  other  garrisoned 
posts  and  stations 
made  by  recruiting 
ofBcer. 


See  pars.  12,  13,  18,  19, 
32,  and  55. 


Monthly     return   for 
field  use  only.    See 
par.  50. 
See  par.  99. 

See  par.  98. 

1  returned  to  surgeon 
to  be  retained. 


1  original  and  1  memo- 
randum. 


See  pars.  260,  261,  and 

262. 
See  pars.  457  to  464. 


See  par.  473. 

See  pars.  414  to  417 


127 


128 


MANUAL  FOB    MEDICAL  IVEPARTMENT,   U.    S.   AEMY. 


Name  of  report,  etc. 


Form  No. 


Num- 
ber of 
copies. 


To  whom  sent. 


Remarks. 


(c)  Monthly— Continued. 

(14)  Report  of  progress  of  re- 

pairs to  hospital. 

(15)  Report  of  progress  of  re- 

repairs  to  quarters  of  ser- 
geants first  class,  Hos- 
pital Corps. 

(16)  Vouclierfoi  hospital  laun- 

dry not  done  by  hospital 
matron. 

(17)  Accoimt  current 


(18)  Report  of  issues  of  medi- 
cine to  civilians. 


(19)  Requisition  for  forage 

(20)  Report  of  ordnance  charges 

on  muster  and  pay  rolls. 

(21 )  Statement  of  charges,  quar- 

termaster property. 

(22)  Report  of  meteorological 

observations. 


(d)  Bimonthly. 

(1)  Muster  roll,  detachment  of 

Hospital  Corps. 

(2)  Muster  roll,  soldiers  in  hos- 

pital. 

(3)  Return  of  the  Hospital 

Corps. 

(e)  Quarterly^. 

(1)  Special  requisition  for  med- 

ical supplies. 

(2)  Requisition  for  tableware 

and  kitchen  utensils. 

(3)  Certificate  of  breakage, 

china  and  glassware. 

(/)  Semunntjally. 

(1)  Return   of  ordnance    and 
ordnance  stores. 


(2)  Statement  of  charges  for  ord- 

nance properly  on  muster 
and  pay  rolls. 

(3)  Return  of  horse  equipments. 

(4)  Requisition  for  blanks 


((?)  Annually. 

(1)  Statement  of  preferences — 

(2)  KfTiciency  report  of  ofhcers. . 


(3)  Requisitions    for    medical 

suppUes. 

(4)  Report  of  surgical  opera- 

tions. 

(5)  Statement  of  repairs,  etc., 

to  hospital. 

(6)  Statement  of  repairs,  etc., 

to  quarters  of  sergeants 
flrstclass.  Hospital  Corps. 


3.30  or  330a,  W.  D. 
3206  or  320,  W.  D. 
Letter 


218  Q.  M.  C 
94,  O.  D.... 


208,  Q.  M.  C 

Weather  Bureau. 


21,  A.  G.  O 

do 

47,M.  D 

35,  M.  D 

166,  Q.  M.  C 

207,  Q.  M.  C.....^ 


18,  O.  D.;  18  cover. 


86,  O.  D.. 

18a,  O.  D 
37  M.  D  . . 


423,  A.  G.  O... 
429,  A.  G.  O... 

33,  M.D.;35,M 


58,  M.  D. 
Letter..., 
do... 


4  or  3 
3 
2 


1 
1 

4  or  3 

1 
1 


S.  G. 


.do. 


2toD.  S.  or  to  the 
S.  G. 

1  to  S.  G.;  1  re- 
tained. 

ItoS.  G.;  inPhili- 
ippine  Depart- 
ment to  D.  S. 

2toC.O 

1  to  Q.  M.,  who 
pays  the  detach- 
ment; 1  retained. 

2  to  Q.  M.;  1  re- 
tained. 

Through  director 
State  section 
Weather  Bureau 
toS.  G. 


2    to    mustering 

officer. 
do 


1  to  S.  G.  through 
D.  S.  or  direct; 
1  retained. 


4  to  D.  S.  or  from 
independent 
posts,  3  to  S.  G. 

2  to  C.  O.;  1  re- 
tained. 


Q.  M. 


1  to  C.  of  O.  (ex- 
cept in  PhiUp- 
puie  Depart- 
ment,  where  to 
D.  O.  O.);  1  re- 
tained. 

....do 


.do. 


1  to  S.  G.  (except 
in  Philippine 
Department, 
where  to  D.S.); 
1  retained. 


To  The  A.  G.  di- 

To  The  A.  G. 
through  mili- 
tary channels. 

4  to  ft.  S.  or,'from 
independent 
posts,  3  to  S.  (5. 

1  to  D.  S.  or  to 
S.  G. 

Q.M 


.do. 


See  par.  245. 
Do. 


1  original  and  1  memo- 
randum. See  par. 
277. 

Accompanied  by  the 
appropriate  vouch- 
ers. 

See  par.  244. 


From  designated  posts. 
See  par.  527. 


1  returned  to  hospital 
to  be  retained. 
Do. 

Bimonthly  return  in 
garrison.  See  p  a  r. 
50. 


1  returned  to  surgeon 
to  be  retained.  See 
par.  482et  seq. 

When  Hospital  Corps 
detachmentis  messed 
separately. 

When  Quartermaster 
Corps  china  and  glass- 
ware are  used. 


Vouchers    to    accom- 
pany. 


To  accompany  return. 

Vouchers    to    accom- 
pany. 


Sec  instructions  on  the 

form. 
See  Army  Regulations. 


1  returned  to  surgeon 
to  bo  retained.  See 
par.  477  et  seq. 

See  pars.  418,  419,  and 
420. 

See  Army  Regulations. 

Do. 


MANUAL   FOR    MEDICAL  DEPARTMENT,   U.    S.    ARMT, 


129 


Name  of  report,  etc. 


(ft)  Occasionally. 

(1)  Ration  return,  detachment 

of  Hospital  Corps. 

(2)  Report  of  change  of  station 

or  status,  M.  O^  D.  S., 
A.  D.  S.,  C.  S.,  H.  C,  or 
A.  N.  C. 

(3)  Change  of  station,  M.  O., 

D.  S.,  or  C.  S. 

(4)  Report  of  death  of  officer. . 


(5)  Report  of  death  of  officer, 

enlisted  man,  or  civilian. 

(6)  Report  of  death  of  M.  O., 

D.  g.,  A.  D.  S     C.  S.,  or 
Sergt.  f.  c,  H.  C. 

(7)  Certificate  of  death 


(8)  Inventory    of  effects,    de- 

ceased   officer,    enlisted 
man,  or  civilian. 

(9)  Efficiency  report  of  officers. 


(10)  Efficiency   report.    Army 
Nurse  Corps. 


(11)  Efficiency  report,  Hospital 

Corps. 

(12)  Record  of  assignment  and 

pay,  Army  Nmse  Corps. 

(13)  Enlistment  paper  of  soldier 

enlisting  or  reeiilisting. 

(14)  Report  of  physical  exami- 

nation of  recruit. 

(15)  Identification  record,   re- 

cruit. 


(16)  Designation  of  beneficiary. 

(17)  Descriptive    and    assign- 

ment card,  recruit. 
(IS)  Account  of  clothing  issued 
to  recruit. 

(19)  Descriptive  list 


(20)  Reservist's  descriptive     443,  A.  G.  O 

card. 


223,  Q.  M.  C 

Letter 

do 

Telegram 

Letter 

do 

Local  form 

34,  A.  G.O 

429,  A.  G.  O 

62,  M.  D 

80,  M.  D 

66,  M.  D 

22,  A.  G.O 

135,  A.  G.  O 

260,  A.  G.  O.;  261, 
A.  G.  O. 

380,  A.  G.  O 

25,  A.  G.  O 

140,  A.  G.O 

29,  A.  G.  O 


Num- 
ber of 
copies. 


2 
2  or  1 


Usual- 
ly 2 
3 


To  whom  sent. 


(21)  NotiScation  of  transfer  to 

Army  reserve. 

(22)  Allotment  of  pay 


559,  A.  G.  O... 
38,  Q.  M.  C... 


(23)  Discontinuance    of   allot-     39,  Q.  M.  C. 
ment  of  pay. 


(24)  Report  of  soldier's  deposit. 

(25)  Advice  of  soldiers' deposits. 

(26)  Report  of  transfer,  deser- 

tion, or  death  of  soldier 
having  deposits. 

(27)  Final  statement,  enlisted 

man. 

(28)  Notification  of  discharge, 

enUsted  man. 


70156°— 18- 


Letter 

8a,  Q.  M.C 

No   form   pre- 
scribed. 

370,  W.D 


3,  A.  G.  O.. 


1  to  C.  O.;  memo, 
copy  kept  at 
hospital. 

2  to  S.  G.  through 
D.  S.orl  direct. 


To  The  A  G.  di- 
rect. 
To  The  A.  G 


CO. 


1  to  D.  S.,  1  to 
S.  G. 

To  local  health  of- 
ficer. 

2  to  The  A.  G.;  1 
retained. 

To  oflJcer's  new 
C.  O.  or  to  sur- 
geon of  his  new 
station. 

1  toC.  O.  of  hospi- 
tal to  which 
transferred;  1 
retained. 

1  forwarded  with 
D/L;  1  retained. 

1  to  nurse's  new 
C.  O.;  1  re- 
tained. 

As  prescribed  on 
the  form. 

The  A.  G.  direct. 

The  A.  G.;  in  the 
Philippine  De- 
partment to  the 
C.  G.  tiiereof. 

The  A.  G.  direct.. 

C.  O 


ficmarks. 


Made  at  such  interA'als 
as  the  C.  O.  may 
direct. 

See  pars.  12,  13,  18,  19, 
32,  45,  55,  and  100. 


See  Army  Regulations. 

Of  officers  on  active  list 
■    who  have  no  imme- 
diate    commanders, 
and  of  officers  on  the 
retired  Ust. 
See  par.  218. 

See  par.  219. 

See  Army  Regiilations: 
Deceased  soldiers. 

See  Army  Regulations. 

See  par.  99. 

See  par.  46. 
See  par.  766. 


To  accompany  de- 
scriptive and  as- 
signment card. 

Number  and  dis- 
position accord- 
ing to  circiun- 
stances  as  pre- 
scribed in  regu- 
lations. 

1  to  reservist;  1  to 
office  where  rec- 
ords are  kept. 

1  to  The  A.  G.  di- 
rect: 1  retained. 

1  to  Q.  G.;  1  re- 
tained. 

Q.G 


CO.  with  pay  roll 

Q.G 

Q.G 


As  prescribed  on 

the  form. 
Paying  Q.M 


Notation  made  on  sol- 
dier's D/L. 


Sec  Appendix:  Army — 
Reserve. 

Do. 


Notation  of  discontin- 
uance made  on  re- 
tained copy  of  allot- 
ment of  pay. 


In  urgent  cases  report 
by  telegraph. 


See  Army  Regulations: 
Final  payment,  en- 
listed men. 


130 


MAlSrUAL  FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY. 


Name  of  report,  etc. 


Form  No. 


Num- 
ber of 
copies. 


To  whom  sent. 


Remarks. 


(h)  Occasionally— Continued. 

(29)  Discharge  certificate,  en- 
listed man. 


(30)  Certificate  of  disabUity. 

(31)  Furlough 

(32)  Statement  of  service 


(33)  Certificate  of  indebtedness 

of  employee  for  hospital 
service. 

(34)  Special     requisition      for 

medical  suppUcs. 

(35)  Requisition    for    clothing 

(in  bulk). 

(36)  Requisition    for    clothing 

(individual). 


(37)  Statement  of  clothing 

(38)  Requisition  for  ordnance . 

(39)  Return  of  medical  prop- 

erty. 


(40)  Report  of  survey 

(41)  Inventory  and  Inspection 

report. 

(42)  Special  sanitary  report 


(43)  Report  on   officer  or  en- 

listed man  who  has  been 
in  general  hospital  three 
months. 

(44)  Report  of  appearance  of 

epidemic  disease  at  or 
near  a  military  post  or 
station. 

(45)  Report  of  appearance  of 

epidemic  disease  in  a 
military  command  en 
route  to  new  station. 

(46)  Notification  to  local  board 

of  health  of  appearance 
of  infectious  disease  at  a 
military  post. 

(47)  Reports  of  births 


(48)  Reports  of  deaths 

(49)  Sf)ccial  reports  of  interest- 

ing cases. 

(50)  Report  of  change  of  combi- 

nation of  lock  of  hospital 
safe. 

(0  On  Breaking  up  or  Hos- 
pital. 

(i)  Current  periodical  reports 
and  returns  to  be  com- 
pleted. 


525,  A.  G.  O.;  526, 
A.  G.  O.;  527, 
A.  G.  O. 


17,  A.  G.  O 
66,  A.  G.  O 
15,  A.  G.  O 

49a,  M.  D.. 
35,  M.  D... 


213,  Q.  M.  C. 
165,  Q.  M.  C. . 

1656,  Q.  M.  C. 
386,  O.D 


17,  M.  D.;  17a, 
M.D.;176,M.D.; 
17c,  M.D. 

196,  A.  G.  O 

1,I.G.D 


Letter. 


•    3 
4  or  3 

3 

2 

1 
3 

2 


Manuscript. 


Letter. 


.do. 


Letter     or     local 
form. 


V.  S.  109. 


(2)  Retained  records. 


V.  S.  98. 
Letter.. 


.do. 


Soldier 

CO 

do 

To  accompany 
charges  against 
cnhsted  man  for 
trial  by  court- 
martial. 

As  required  by 
Army  Regula- 
tions. 

4  to  D.  S.  or  3  to 
the  S.  G. 

3  to  Q.  M.  direct. 

2  to  Q.  M.  direct. 


Retained. 


2  to  C.  O.;  1  re- 
tained. 

1  to  S.  G.;  1  re- 
tained. 


3toC.  O 

2  to  inspecting  of- 
ficer. 

To  The  A.  G. 
through  miUtary 
channels. 

2toS.  G 


1  to  C.  0.;  1  to 
D.S.;  1  to  S.G. 


3  copies  as  in  pre- 
ceding case;  ad- 
ditional copy  to 
surgeon  of  new 
station. 

Board  of  health... 


To     Director     of 
Census, 
.do 


S.G.  through  med- 
ical channels. 


S.  G. 


Number  of  copies 
and  disposition 
as  at  the  end  of 
full  stated  peri- 
ods in  each  case. 

The  A.  G.,  with 
schedule. 


To  be  given  by  field 
ofiicer  of  soldier's  reg- 
iment or  corps,  or  by 
the  commanding  offi- 
cer when  no  field  offi- 
cer is  present. 


1  returned  to  surgeon 
to  be  retained.  See 
par.  485. 


Separate  slips  for  each 
fuan  drawing  cloth- 
ing. 

Filed  with  recjuisition 
to  which  it  pertaiQS. 


See  par.  507. 

See  Army  Regulations. 

See  par.  416. 

See  par.  287. 


See  par.  201. 


Do. 


See  par.  203. 


See  par.  401. 

Do. 

By  the  attending  phy- 
sician. See  pars.  421 
and  422. 

See  par.  247. 


MANUAL   FOR    MEDICAL   DEPARTMENT,   U.    S.    ARMY.  131 

LIST   OF  RECORDS. 

399.  The  following  list  includes  all  the  principal  records  required 
to  be  kept  in  military  hospitals,  in  addition  to  retained  copies  of 
reports,  returns,  etc.: 

(1)  Kegister  of  sick  and  wounded  (Form  52). 

(2)  Clinical  records  (Forms  55,  a  to  u). 

(3)  Prescription  files  (par.  240). 

(4)  Register  of  dental  patients  (Form  79). 

(5)  Correspondence  records  (pars.  402  to  406). 

(6)  Record  of  instruction  of  the  Hospital  Corps  (pars.  163  and  178). 

MODE    OF    KEEPING    AND    AUTHENTICATING    REPORTS, 
RETURNS,   AND   RECORDS. 

400.  In  the  absence  of  the  medical  oificer  the  officer  designated  to 
take  charge  of  medical  property  will  sign  all  property  and  adminis- 
trative papers,  while  the  physician  who  renders  professional  service 
will  sign  papers  of  a  professional  character,  such  as  reports  of  sick 
and  wounded,  surgical  reports,  morning  sick  reports,  etc.  (See  pars. 
435a  and  460&.) 

REPORTS   OF  BIRTHS  AND   DEATHS. 

401.  Reports  of  births  and  deaths  as  they  occur  at  military  posts 
will  be  made  to  the  Director  of  the  Census,  Washington,  D.  C,  upon 
blank  forms  furnished  by  him  for  that  purpose,  on  requisition  made 
by  the  post  commander. 

(a)  Bii'ths  and  deaths  occurring  at  military  posts  will  also  be 
reported  to  municipal  and  State  health  authorities,  if  desired  by 
them.     (See  Army  Regulations.) 

(b)  For  notations  of  births  and  deaths  to  be  made  on  the  report  of 
sick  and  wounded,  see  paragraph  459. 

CORRESPONDENCE  RECORDS. 

402.  The  record  card  system,  as  prescribed  in  War  Department 
orders,  will  be  used  for  recording  and  filing  the  correspondence  at  the 
offices  of  department  surgeons,  unless  otherwise  directed  by  higher 
authority,  and  at  general  hospitals,  medical  supply  depots,  and  such 
other  offices  as  may  be  specially  authorized  to  employ  it. 

403.  The  correspondence  book  system,  as  prescribed  in  War 
Department  orders,  wiU  be  used  for  recording  and  filing  the  corre- 
spondence of  all  post  hospitals  and  other  sanitary  formations  not 
mentioned  in  the  preceding  paragraph,  except  those  for  which  some 
other  system  is  specially  prescribed. 

404.  The  correspondence  of  an  attending  surgeon  at  the  head- 
quarters of  a  department  will  be  considered  a  part  of  the  correspond- 
ence of  the  department  surgeon's  office. 


132  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

(a)  The  correspondence  of  other  attending  surgeons  will  be  kept 
as  at  post  hospitals,  except  as  the  same  may  be  varied  by  the  author- 
ity of  the  Surgeon  General. 

405.  The  required  correspondence  books  are  furnished  bj^  The 
Adjutant  General.  The  materials  necessary  for  the  record  card  sys- 
tem are  furnished  by  the  Quartermaster  Corps.  (See  pars.  962  and 
963.) 

406.  For  reference  to  general  orders  governing  correspondence  see 
Appendix:  Records  and  Correspondence.  For  method  of  keeping,  cor- 
respondence records  in  the  field  see  paragraph  564. 

CLINICAL  RECORD. 

407.  A  clinical  record  will  be  kept  for  every  patient  in  hospital. 
Forms  55a  and  55;  will  be  used  in  every  case;  the  other  lettered 
blanks  of  Form  55  will  be  used  as  the  nature  or  importance  of  the 
case  may  warrant. 

408.  Upon  the  transfer  of  a  patient  from  one  ward  of  the  hospital 
to  another,  the  clmical  record  will  be  sent  with  him  to  the  new  ward. 
The  fact  of  transfer  will  be  noted  on  the  record. 

409.  Upon  the  departure  of  a  patient  from  the  hospital  all  the 
sheets  of  the  clinical  record  will  be  arranged  in  then-  proper  order, 
fastened  together  at  the  top,  all  entries  completed,  and  the  record 
signed  by  the  ward  surgeon.  The  record  so  completed  and  signed 
will  be  sent  to  the  office  with  the  next  morning  report  of  the  ward 
(par.  211). _ 

410.  A  similar  clmical  record  should  be  kept  for  all  serious  cases  in 
quarters.  Upon  the  discontinuance  of  treatment,  because  of  the 
completion  of  the  case  or  the  patient's  departure  from  post  or  com- 
mand, the  record  should  be  forwarded  to  the  hospital  office. 

411.  The  bedside  notes  (Form  68)  kept  by  the  nurse  are  for  tem- 
porary use.  They  should  not  be  filed  with  the  clinical  record,  but 
may  be  destroyed  at  the  discretion  of  the  commanding  officer  of  the 
hospital. 

MEDICAL  HISTORY  OF  POST. 

412.  A  medical  history  of  every  permanent  post  will  be  kept  by 
the  surgeon  in  a  loose-sheet  binder  (par.  844).  The  duphcates  of  the 
sanitary  reports  (par.  414)  and  the  duplicate  report  slieets  of  sick 
and  wounded  (par.  460a)  will  be  filed  therein  in  a  single  chronological 
sequence.  Additional  sheets  measuring  about  13  by  8  inches  for 
noting  the  occurrence  of  epidemic  diseases  (par.  201)  and  other  data 
of  general  and  sanitary  interest  will  be  inserted  as  occasion  requires 
at  their  proper  places  in  the  chronological  sequence.  The  prescribed 
record  of  the  official  indorsements  on  sanitary  reports  will  invariably 
bo  made  on  the  duplicates  filed  in  tlie  medical  history. 


MANUAL    FOR    MEDICAL    DEPAETMENT,    U.    S.    ARMY.  133 

REPORTS   PERTAINING   TO   PERSONNEL. 

413.  Reports  and  returns  pertaining  to  the  personnel  of  the  Med- 
ical Department  are  considered  under  their  respective  headings  in 

Article  I. 

SANITARY   REPORTS. 

414.  The  sanitarr  reports  called  for  by  Army  Regulations  consti- 
tute a  record  of  the  sanitary  conditions  of  a  post  or  command  montli 
by  month  and  should  be  complete  either  in  themselves  or  by  refer- 
ence. A  duplicate  of  each  report  will  be  retained  with  the  medical 
records  of  the  post  or  command.  At  a  permanent  post  the  duplicates 
will  be  filed  in  and  form  a  part  of  its  medical  history.      (See  par.  412.) 

416.  Important  changes  in  sanitar}^  conditions  occurring  during  the 
month  will  be  fully  described  in  the  monthly  report,  Form  50.  When, 
however,  there  has  been  no  important  change  and  there  are  no  readily 
preventable  sanitary  defects  remaining  uncorrected,  it  will  not  be 
necessary  to  report  in  full  under  each  heading  of  the  form.  Under 
these  circumstances  a  general  statement  under  each  heading  should 
be  made,  referring  by  date  to  the  previous  reports  wliich  contain  more 
extended  information  on  the  subject.      (See  pars.  201  and  202.) 

416.  While  the  monthly  sanitary  reports  are  commonly  used  as  the 
form  of  communication  for  suggestions  requu'mg  administrative 
action,  the  medical  officer  may,  if  he  desires,  make  important  recom- 
mendations the  subject  of  a  special  sanitary  report.  The  fact  that 
such  a  special  report  has  been  rendered  will  be  referred  to  on  the  next 
monthly  sanitaiy  report,  with  a  brief  note  as  to  its  contents.  (See 
par.   182.) 

417.  When  a  regularly  authorized  sanitary  inspector  is  present  for 
duty  with  troops  in  the  field,  the  monthly  sanitary  report  (Form  50 
is  not  mcde  by  the  surgeons  of  regimental  and  other  similar  organiza- 
tions.    (See  par.  747a.) 

SURGICAL  REPORTS. 

418.  Rescinded.     (C.    M.    M.  D.,   No.  5.) 

419.  Rescinded.     (C.  M.  M.  D.,  No.  5.) 

420.  Rescinded.      (C.   M.   M.  D.,  No.  5.) 

SPECIAL   REPORTS    AND   ARTICLES    FOR   PUBLICATION. 

421.  When  a  medical  orsm'gical  case  presents  unusual  or  interesting 
features,  a  special  report  of  the  same  will  be  foi-warded  by  the  attend- 
ing surgeon,  through  medical  channels,  to  the  Surgeon  General. 
Copies  of  the  clinical  record  (pars.  407  to  411)  should  be  forwarded 
therewith. 

422.  Special  reports  are  invited  on  other  medical,  surgical,  and 
sanitary  subjects  which  appear  to  merit  their  preparation.     When 


134  MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

tlicy  involve  only  professional  interests,  they  should  be  forwarded, 
through  medical  channels,  to  the  Surgeon  General. 

423.  Medical  officers  will  not  publish  professional  papers  requiring 
reference  to  official  records  or  to  experience  gained  in  the  discharge  of 
their  official  duties  without  the  previous  authority  of  the  Surgeon 
General. 

REPORT    OF    MEDICAL    DEPARTMENT    PASSENGERS    ON 

TRANSPORTS. 

424.  Medical  supermtendents  of  the  Army  transport  service,  on  the 
day  following  the  arrival  or  sailing  of  a  transport,  will  forward  direct 
to  the  Surgeon  General  a  passenger  list  of  the  personnel  of  the  Medical 
Department  aboard  the  vessel. 

REPORTS  AND  RECORDS  ON  ABANDONMENT  OF  POSTS. 

425.  When  a  post  is  abandoned  or  a  detachment  is  broken  up,  the 
medical  officer  will  report  the  fact  to  the  department  surgeon,  and 
after  completing  all  current  reports  will  forward  them  to  the  Surgeon 
General.  (See  also  Army  Regulations:  Records — Care  and  preserva- 
tion of.) 

DISPOSITION   OF   OLD   RECORDS. 

426.  Registers  of  sick  and  wounded  will  be  permanently  preserved. 
Other  records  and  retained  copies  of  reports  and  returns  kept  at 
military  hospitals  will,  in  the  absence  of  specific  regulations  and 
orders  governing  their  disposition,  be  destroyed  after  five  years  from^ 
their  date.     (See  Army  Regulations:  Records.) 

(a)  Accumulations  of  obsolete  and  wortliless  documents  at  inde- 
pendent administrative  offices  of  the  Medical  Department  should  be 
reported  every  few  years  to  the  Surgeon  General  with  a  view  to  obtain- 
ing authority  from  the  Secretary  of  War  for  their  destruction.  These 
reports  should  indicate  the  character  of  the  documents  in  question, 
their  date  or  period,  and,  if  known,  the  date  of  the  last  call  for  them. 

REGISTER  AND   REPORT   OF   SICK  AND   ABOUNDED. 

THE    REGISTER. 

427.  A  full  record  of  the  sick  and  wounded  of  every  military  post 
or  station  and  separate  command  wliich  is  attended  by  a  medical 
officer  or  private  physician  will  be  made  on  register  cards.  Form  52 ; 
but  this  requirement  will  not  be  applicable  in  time  of  war  to  troops 
or  commands  in  the  theater  of  operations,  except  camp  hospitals  (or 
field  hospitals  acting  as  such),  evacuation  hospitals,  base  hospitals 
and  other  immobile  sanitary  formations  on  the  line  of  communica- 
tions. (See  pai-s.  575  to  582.)  These  cards  collectively  constitute 
the  register  of  patients,  and  a  case  carded  on  them  is  said  to  be  on 
the  register. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY,  135 

(a)  Ti  e  commanding  officer  will  provide  the  surgeon  with  any  in- 
formation the  latter  may  not  have  which  is  necessary  for  preparing 
and  completing  the  register. 

428.  A  register  card  will  be  made: 

(a)  For  every  person  admitted  to  the  hospital  for  treatment. 

(b)  For  every  officer,  enlisted  man,  Army  field  clerk,  field  clerk, 
Quartermaster  Corps,  and  member  of  the  Nurse  Corps  with  the  com- 
mand, including  retired  officers  and  soldiers  under  assignment  to 
active  duty,  who,  though  not  admitted  to  the  hospital,  is  excused  on 
account  of  sickness  or  injury  from  the  performance  of  his  military 
duty,  or  some  part  of  it,  such "  as  attendance  on  certain  calls,  drills, 
target  practice,  mounted  duty,  etc. 

(c)  For  every  officer,  enlisted  man,  Army  field  clerk,  field  clerk, 
Quartermaster  Corps,  and  member  of  the  Nurse  Corps  with  the  com- 
mand who,  though  not  excused  from  duty,  is  prescribed  for  or  treated, 
or  placed  under  observation  "with  a  view  to  treatment  or,  in  the  case 
of  an  enlisted  man,  to  discharge  on  account  of  disability,  if  his  dis- 
ability is  of  such  a  character  as  to  have  a  probable  bearing  on  his 
subsequent  medical  history:  Provided,  That  a  case  once  carded  for 
record  only  under  this  provision  will  not  again  be  carded  for  record 
only  on  the  same  register  except  when  necessary  to  comply  with  the 
provisions  of  sections  (d),  (e),  (/),  and  (h)  of  this  paragraph.  For 
example,  every  case  of  venereal  disease  or  insanity,  or  suspected 
venereal  disease  or  insanity,  which  comes  under  observation  or 
treatment,  will,  unless  previously  on  the  register  or  otherwise  required 
to  be  registered,  be  carded  for  record  only  under  this  provision. 

(d)  For  every  officer,  enlisted  man,  Army  field  clerk,  field  clerk, 
Quartermaster  Corps,  and  member  of  the  Nurse  Corps  with  the  com- 
mand, not  currently  on  the  register,  who  is  retired  or  discharged  for 
disability  or  dies. 

(e)  For  every  officer,  enlisted  man,  Army  field  clerk,  field  clerk, 
Quartermaster  Corps,  and  member  of  the  Nurse  Corps  with  the  com- 
mand, not  currently  on  the  register,  who  is  sent  to  another  station 
or  command  for  observation  or  treatment :  Provided,  That  this  regu- 
lation shall  not  apply  to  commands  which  have  no  hospitals  and 
which  habitually  send  their  hospital  cases  to  a  hospital  in  the  near 
vicinity.     (See  par.  217^.) 

(/)  For  every  officer,  Army  field  clerk,  field  clerk,  Quartermaster 
Corps,  and  member  of  the  Nurse  Corps  with  the  command,  not 
currently  on  the  register,  who  departs  from  the  command  on  sick 
leave. 

(g)  For  every  officer,  enfisted  man,  Army  field  clerk,  field  clerk, 
Quartermaster  Corps,  and  member  of  the  Nurse  Corps  with  the  coni- 
mand  whose  case  is  received  by  transfer  conformably  to  the  provi- 
sions of  paragraphs  214  to  217. 


136  MANUAL   FOR   MEDICAL   DEPAETMENT,    U.    S.    ARMY. 

(h)  For  every  retired  officer,  retired  soldier,  former  office-t',  former 
soldier,  former  Army  field  clerk,  former  field  clerk,  Quartermaster 
Corps,  or  former  member  of  the  Nurse  Corps  with  the  command  but 
not  in  the  hospital,  who  dies.     (C.  M.  M.  D.  No.  8.) 

429.  Except  as  required  by  paragi"aph  428  a  case  prescribed  for  but 
not  admitted  to  hospital  or  excused  from  duty  will  not  be  registered, 

430.  Cases  under  treatment  by  the  dentist  will  be  entered  on  the 
register  of  sick  and  wounded  only  when  such  entry  is  required  by 
the  provisions  of  paragraph  428. 

431.  Wlien  an  officer  or  soldier  sick  in  hospital  is  retired  from 
active  service,  wholly  retired  from  service,  dismissed,  or  discharged, 
his  case  as  an  officer  or  soldier  will  be  closed  (par.  4.50)  and  a  new 
card  made  for  it  covering  his  continuance  in  hospital  under  his  new 
status. 

(a)  If  an  applicant  for  enlistment  sick  m  hospital  is  sworn  in  as  a 
soldier,  his  case  as  a  civilian  will  be  closed  and  a  new  card  made  for 
his  case  as  a  soldier. 

(b)  Appropriate  cross  references  from  the  old  to  the  new  cards,  and 
vice  versa,  will  be  made  in  these  cases. 

432.  The  register  cards  will  be  made  day  by  day  as  the  cases  are 
taken  up.  (See  pars.  208a  and  209.)  They  will  be  kept  in  two  files, 
the  current  file  and  the  permanent  file. 

(a)  The  current  file  will  consist  of  the  register  cards  of  uncompleted 
cases  an-anged  in  dictionary  order  according  to  the  surnames  of  the 
patients.  It  constitutes  a  ready  index  to  all  cases  cuiTently  on  the 
register.  Cards  will  be  transferred  from  the  current  file  to  the  per- 
manent file  immediately  upon  their  completion  and  the  preparation 
of  their  report  cards. 

(b)  The  permanent  file  will  comprise  all  the  register  cards  of  com- 
pleted cases.  The  cards  therein  will  be  filed  in  the  serial  order  of 
their  register  numbers. 

(c)  A  card  index  to  the  register  will  be  kept  on  Form  52a,  one 
index  card  for  each  individual  patient  whose  name  appears  in  the 
register.  When  a  register  card  is  started  and  its  number  determined 
the  index  will  be  searched  for  previous  admissions  of  the  patient. 
If  an  index  card  for  the  patient  is  found,  the  new  number  will  be 
entered  thereon,  and  the  number  of  the  last  previous  admission  will 
be  noted  on  the  new  register  card  (par.  443).  If  no  index  card  for 
the  patient  is  found,  one  will  be  at  once  prepared.  The  index  cards 
will  be  filed  alphabetically  in  dictionary  order  accordmg  to  the  sur- 
names of  the  patients. 

433.  Cases  taken  up  on  register  cards  should  be  borne  thereon 
until  finally  disposed  of.     (See  par.  450.) 

434.  The  cards  will  be  legibly  written  in  indelible  black  ink,  using 
the  typewriter  when  practicable. 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY.  137 

(a)  Entries  must  not  be  crowded.  When  the  space  provided  on 
the  front  of  the  card  under  any  heading  is  not  sufficient  to  complete 
an  entry  thereunder,  the  record  thereof  will  be  continued  on  the 
back  of  the  card,  or,  if  still  more  space  is  required,  upon  an  extension 
slip.  The  extension  slip  must  be  of  the  same  size  as  the  card,  and 
be  pasted  to  the  lower  margin  of  the  back  of  the  card,  using  about 
one-half  an  mch  for  the  seam;  this  will  place  the  seam  at  the  top  of 
the  card  when  the  latter  is  filed.  When  an  entry  is  continued  its  two 
parts  should  be  connected  by  cross  references,  using  a  small  letter  in 
parenthesis,  thus,  (a),  so  that  the  record  can  be  readily  followed. 

435.  The  senior  medical  officer  is  responsible  for  the  correctness  and 
safe-keeping  of  the  register.  He  will  sign  or  mitial  all  register  cards 
completed  during  the  period  of  his  responsibility;  but  at  general 
hospitals,  or  brigade  posts,  or  when  specially  authorized  by  the 
Surgeon  General,  he  may  designate  one  or  more  junior  medical  officers 
to  sign  or  initial  them,  preferably  in  each  case  the  officer  in  attend- 
ance thereon. 

(a)  When,  in  the  absence  of  a  medical  officer,  the  command  is 
attended  by  a  civilian  physician,  he  will  sign  the  cards  for  the  cases 
completed  under  his  care. 

436.  Alterations  and  additions  when  necessary  to  correct  or  com- 
plete the  record  may  be  made  in  the  register  cards  of  uncompleted 
cases  at  the  discretion  of  the  senior  medical  officer  of  the  conunand  for 
the  time  being.  A  change  of  diagnosis  will  be  indicated  in  the  space 
"complication,  seq.,  etc.,"  giving  the  date  of  the  change,  and  the 
original  entry  under  "cause  of  admission"  wdU  not  be  disturbed. 

(a)  Alterations  of  and  additions  to  the  register  card  of  a  com- 
pleted case  may  be  made  in  like  manner  by  the  medical  officer  who 
was  responsible  for  the  card  at  the  time  it  was  completed  if  he  is 
still  the  senior  medical  officer  of  the  command.  If  he  has  been  super- 
seded the  card  will  not  be  changed,  but  a  successor  who  concludes, 
upon  information  received,  that  the  card  is  erroneous  in  any  par- 
ticular, may  file  a  supplemental  card  therewith  of  the  same  size  as 
the  register  card,  indicating  thereon  such  conclusion  and  the  informa- 
tion or  reasons  upon  which  it  is  based.     The  supplemental  card  will 

be  headed  "Supplemental  card.  No.  ,"  inserting  the  register 

number  of  the  register  card,  and  will  be  dated  and  signed  by  the 
officer  filing  it.  A  cross  reference  to  the  supplemental  card  identify- 
ing it  by  its  date  may  appear  upon  the  register  card,  but  it  will  be 

a  reference  only,  thus,  "See  supplemental  card  dated  ,"  and 

contain  none  of  the  matter  recorded  on  the  supplement.  (See  pars. 
463  and  464.)     {C.  M.  M.  D.,  No.  6.) 


138  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

DIRECTIONS    FOR    PREPARING   REGISTER    CARDS. 

(See  pars.  208  to  213.) 

437.  Name. — Name  should  be  correctly  and  legibly  written. 
Initial  letters  or  abbreviations  may  be  used  for  middle  names  only. 

438.  Rank,  company,  and  regiment  or  8taff  corps. — The  usual  abbre- 
viations may  be  employed. 

(cr)  Changes  in  the  patient's  rank,  company,  and  regiment  or  corps 
while  his  case  is  current  on  the  register  will  be  recorded  in  this  space, 
giving  dates  of  changes. 

(6)  If  the  patients  are  discharged  soldiers,  applicants  for  enlist- 
ment, Army  field  clerks,  field  clerks.  Quartermaster  Corps,  members 
of  the  Nurse  Corps,  or  members  of  the  Organized  Mihtia,  those  facts, 
respectiveh'^,  will  be  set  forth  on  their  cards  under  this  heading,  giving, 
in  the  case  of  former  soldiers  the  organization  to  which  they  last 
belonged,  and  in  the  case  of  militiamen  their  mihtia  organization. 
Other  civihans  should  be  designated  simpl}^  rs  civilians.  (C.  M.  M. 
D.,  No.  8.) 

439.  Age,  years. — The  age  at  birthday  nearest  to  date  admitted  is 
required. 

440.  Race.—Vse  "W,"  "C,"  ''F,"  'T.  R,"  "I,"  meaning  "white," 
"colored,"  "Filipino,"  "Porto  Rican,"  or  "Indian." 

441.  Nativity. — Place  of  birth;  give  State,  if  a  native;  country,  if 
foreign.     Usual  abbreviations. 

442.  Service,  years. — Give  length  of  service  to  date  of  admission, 
in  3-ears  and  fractions  thereof,  whether  continuous  or  not. 

443.  Register  No. — Every  card  will  have  a  number  for  convenience 
of  reference.  These  numbers  will  be  consecutive  and  will  be  carried 
forw^ard  indefinitely.  In  order  that  the  medical  history  of  a  patient 
may  be  more  readily  traced,  his  last  previous  register  number,  if  he 
has  previously  had  a  register  card  at  the  post,  should  be  entered  imme- 
diately before  his  current  number. 

(a)  So  long  as  a  field  command,  attended  by  a  medical  ofl&cer  or 
private  physician,  is  unattached  to  a  permanent  station,  or  its  hos- 
pital or  infirmary  is  not  discontinued  by  consolidation  with  that  of 
another  command,  its  register  cards  should  be  numbered  continu- 
ously without  regard  to  the  various  changes  of  its  location. 

444.  Date  of  admission. — Under  date  of  admission  give  the  day, 
month,  and  year  the  case  is  taken  up.  Figures  should  not  be  used  to 
designate  the  month. 

445.  Source  of  admission. — Indicate  in  this  space  the  source  from 
which  the  patient  was  directly  received.  Officers  and  enlisted  men  of 
the  command  are  generally  admitted  "From  command;"  but  may  be 
"From  desertion,"  etc.  In  the  case  of  a  casual,  the  name  of  his 
proper  station  should  be  given,  in  addition  to  the  place  from  which 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY.  139 

he  was  directly  received,  thus,  e.  g.:  "Casual  from  command,  proper 
station,  Fort  A;"  or  ''Casual  from  S.  S.  Southlaiid,  from  Norfolk,  Va., 
proper  station,  Fort  B."  In  the  case  of  an  original  admission  from 
a  passing  or  other  command  which  is  unaccompanied  by  a  medical 
officer  the  fact  should  be  recorded,  thus,  e.  g.:  ''Detachment,  TweKth 
Infantry,  en  route  A  to  B,  unaccompanied  by  a  medical  officer." 

(a)  In  the  case  of  a  patient  received  by  formal  transfer  from 
another  hospital  or  command  (pars.  214  to  217)  the  name  of  such 
hospital  or  command  wiU  be  given,  with  the  date  of  the  original 
entry  of  the  case  and  its  register  number  on  the  register  thereof,  if 
known.  In  the  case  of  a  patient  received  by  informal  transfer  under 
the  conditions  recited  in  paragraph  217^  the  name  of  his  command 
only  will  be  given,  with  the  words  "informal  transfer"  added. 

(6)  The  following  additional  notations  wiU  be  made  in  parentheses 
in  this  space: 

1.  In  cases  taken  up  under  section  (c),  paragraph  428 — (Carded  for 
record  only;  under  treatment  [or  observation]  but  not  excused  from 
duty). 

2.  In  cases  taken  up  under  section  {d) — (Carded  for  record  only; 
not  currently  on  the  register). 

3.  In  cases  taken  up  under  section  (e) — (Carded  for  transfer  only; 
on  full  duty  while  with  command) . 

4.  In  cases  taken  up  under  section  (/) — (Carded  for  record  of  sick 
leave  only;  on  full  duty  while  with  command) .    (C.  M.  M.D.,  No.  6.) 

446.  Cause  of  admission. — Give  the  name  of  the  disease  and  its 
location  if  it  is  localized;  or  in  case  of  injury,  its  cause,  location, 
character,  and  severity,  with  the  attending  circumstances,  date  of 
occurrence,  and  nature  of  missile,  weapon,  or  other  producing  agent. 
When  the  patient  has  two  or  more  diseases  or  injuries  at  the  time  of 
admission,  each  of  them  will  be  recorded  under  this  head.  Should 
the  original  disability,  or,  if  there  is  more  than  one,  should  any  of 
them,  be  cured  before  the  filial  disposition  of  the  patient,  the  fact 
and  date  of  such  cure  will  also  be  stated  in  this  space.  In  the  case 
of  a  patient  received  by  transfer  the  diagnosis  made  at  the  receiving 
hospital  will  be  recorded.  If  this  diagnosis  differs  from  that  on  the 
transfer  card,  the  additional  entry  will  be  made,  "Diagnosis  on  trans- 
fer card  not  concurred  m."     (See  pars.  455  and  456.) 

(a)  In  entering  causes  of  admission  distinction  should  be  made 
between  the  primary  or  remote  cause  and  the  exciting  or  proximate 
cause,  the  latter  being  regarded  as  the  cause  of  admission  within  the 
meaning  of  this  paragraph.  For  example,  cycloplegia  produced  for 
the  purpose  of  measuring  a  refractive  error  should  be  recorded  as  the 
cause  of  admission,  rather  than  the  refractive  error  itself,  which 
should  be  mentioned  in  brackets.  So  also,  in  a  case  admitted  for 
operation  to  cure  or  correct  a  congenital  or  other  defect,  as,  for  exam- 


140  MANUAL   FOR   MEDICAL  DEPARTMENT,    U.    S.    ARMY. 

pie,  hammertoe  or  phimosis,  no  i)athological  condition  being  present 
which  would  of  itself  require  admission,  the  purpose  to  operate  is  the 
cause  of  admission  and  should  be  so  recorded  l)y  the  words,  "For 
operation,"  indicating  the  defect  in  brackets.  It  is  necessary  to 
observe  this  distinction  with  care,  to  assure  proper  determination  of 
the  question  whether  the  actual  cause  of  admission  shall  be  recorded 
as  in  the  line  of  duty  or  not.     (See  par.  448.) 

447.  The  place  of  treatment,  quarters  or  hospital,  and  the  dates  of 
changes  from  the  one  to  the  other,  will  be  indicated  in  the  cause-of- 
admission  space. 

448.  In  line  of  duty. — Herein  will  be  recorded,  in  the  case  of  every 
officer  or  enhsted  man  on  the  active  list,  of  every  Army  field  clerk 
and  field  clerk.  Quartermaster  Coi-ps,  of  every  member  of  the  Nurse 
Corps,  and  of  every  officer  and  enlisted  man  on  the  retired  list  who 
is  for  the  time  being  serving  under  an  assignment  to  active  duty, 
the  opmion  of  the  medical  officer,  based  on  a  full  consideration  of 
all  the  facts,  as  to  whether  the  cause  of  admission  was  ijicurred  in 
tTie  line  of  duty,  it  being  understood  that  the  entry  relates  to  the 
immediate  cause  of  admission  as  defuied  in  paragraph  446a,  and  not 
to  the  remote  cause.  If  the  patient  has  two  or  more  diseases  or 
injuries  at  the  time  of  admission,  an  opinion  as  to  line  of  duty  will 
be  separately  recorded  for  each.  In  forming  and  recording  his 
opinion  on  this  point  the  medical  officer  will  be  guided  by  the  follow- 
ing instructions: 

(a)  An  officer,  Army  field  clerk,  or  field  clerk.  Quartermaster 
Corps,  who  has  been  passed  as  fit  for  service  on  physical  examination 
upon  entrance  into  the  service,  or  a  soldier  or  member  of  the  Nurse 
Corps  who  has  been  accepted  on  his  or  her  first  physical  examination 
after  arrival  at  a  mihtary  station  as  fit  for  service,  shall  be  considered 
to  have  contracted  in  the  line  of  duty  any  subsequently  determined 
physical  disability,  unless  such  disability  can  be  shown  to  be  the 
result  of  the  patient's  own  carelessness^  misconduct,  or  vicious  habits, 
or  to  have  been  contracted  while  absent  from  duty  without  permission, 
or  unless  the  history  of  the  case  shows  unmistakablj'  that  the  dis- 
ability existed  prior  to  entrance  into  the  service.  When  the  admis- 
sion is  for  an  operation  or  procedure  which  is  designed  to  improve 
the  patient's  physical  fitness  or  efficiency  for  the  military  service, 
such  operation  or  procedure  will  be  recorded  as  in  the  line  of  duty, 
without  reference  to  the  fact  whether  the  condition  to  be  remedied 
originated  in  the  line  of  duty  or  not,  provided  that  the  primary  cause 
is  not  the  result  of  the  patient's  own  misconduct. 

{}))  When  an  officer,  enlisted  man,  Army  field  clerk,  field  clerk. 
Quartermaster  Corps,  or  member  of  the  Nurse  Corps,  is  disabled 
while  absent  with  leave,  the  question  of  line  of  duty  must  be  deter- 


MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY.  141 

mined  by  the  circumstances  attending  the  incurrence  of  the  disability, 
but  the  fact  of  being  so  absent  should  be  stated. 

(c)  When  a  medical  officer  expresses  the  opinion  that  an  injury 
occurring  during  athletic  sports,  properly  indulged  in,  was  received 
in  the  line  of  duty,  the  opinion  is  accepted  by  the  Surgeon  General 
as  satisfactory  and  final. 

(d)  In  all  cases  in  which  the  opinion  is  expressed  by  "no,"  and  in 
cases  of  venereal  diseases  by  "yes,"  the  circumstances  attending  the 
incidence  of  the  disability,  and  on  which  the  opinion  is  based,  should 
be  stated  under  the  diagnosis.     (C.  M.  M.  D.,  No.  8.) 

449.  Complications,  seq.,  etc. — Herein  will  be  recorded  complica- 
tions and  intercurrent  diseases  appearing  subsequent  to  admission, 
surgical  operations,  and  changes  of  diagnosis.  The  date  will  be  given 
in  each  mstance. 

(a)  When  the  intercurrent  disability  subsequently  appearing  is  in 
no  way  dependent  on  the  primary  affection,  the  medical  officer  will 
record  in  this  space  his  opinion  as  to  whether  it  originated  in  the  line 
of  duty,  with  such  explanatory  remarks  as  may  be  necessary.  Should 
it  be  cured  before  the  final  disposition  of  the  patient,  the  fact  and 
date  of  cure  will  also  be  recorded  here. 

(h)  Upon  recording  a  change  of  diagnosis  the  medical  officer  will 
also  record  in  this  space  his  opinion  whether  the  disabihty  as  diag- 
nosed by  him  originated  in  the  line  of  duty,  with  appropriate  explana- 
tory remarks  when  necessary. 

(c)  In  recording  a  surgical  operation  its  character  mU  be  briefly 
described,  giving  the  commonly  accepted  name  for  it.  The  word 
"operation"  alone  is  not  sufficient.  In  every  case  note  should  be 
made  of  the  anesthetic  used  and  of  the  time  intervening  between 
the  onset  of  the  disease  or  the  receipt  of  the  injury  and  the  perform- 
ance of  the  operation.     (C.  M.  M.  D.,  No.  6.) 

450.  Disposition. — ^Herein  record  the  completion  of  the  case  by 
entry  specifying  the  method  of  its  completion.  Return  to  duty  is 
always  a  completion  of  the  case,  including  cases  registered  under  the 
provisions  of  paragraph  428c.  Transfer  to  another  hospital  (par. 
214)  completes  the  case  on  the  medical  records  of  the  transferring 
hospital  or  conamand.  Cases  of  officers,  soldiers,  Army  field  clerks, 
field  clerks,  Quartermaster  Corps,  and  members  of  the  Nurse  Corps 
are  completed  by  capture  or  any  change  in  their  military  status 
which  separates  them  from  the  active  list  of  the  Army,  such  as  death, 
desertion,  retirement,  resignation,  dismissal,  or  discharge  from  the 
service.  (See  par.  431.)  Cases  of  officers  and  enlisted  men  on  the 
retired  lists  and  of  civilians  registered  upon  their  admission  to  hospital 
conformably  to  the  provisions  of  paragraph  428a  are  completed,  so 
far  as  the  register  is  concerned,  by  their  departure  from  hospital. 


142  MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

(a)  When  a  patient  departs  from  the  command  or  hospital  on 
ordinary  or  sick  leave  or  furlough,  his  card  will  be  completed  by  appro- 
priate record  of  such  departure,  with  a  statement  as  to  whether  the 
cure  was  complete  or  not.  Should  he  resume  the  status  of  sick  upon 
his  return  from  leave  or  furlough,  his  case  will  be  registered  anew. 

(h)  Register  cards  made  for  record  only  under  paragraph  428c,  the 
patient  not  having  been  excused  from  duty,  should  be  completed  at 
once,  regardless  of  the  continuance  of  treatment  or  observation,  by 
entering  "Doing  full  duty"  under  this  head  and  repeating  the  date 
in  the  date-of-disposition  space.  Should  the  provisions  of  sections 
(a),  (6),  (d),  (e),  (/),  or  (h),  paragraph  428,  become  apphcable  during 
continued  treatment  or  observation,  or  subsequently,  the  case  will 
again  be  registered  in  conformity  therewith. 

(c)  Cases  of  death,  and  of  retirement  or  discharge  for  disability, 
carded  under  the  provisions  of  paragraph  4:28d,  will  be  completed  at 
once  by  entry  in  this  space  specifying  the  nature  of  the  casualty. 

(d)  In  case  of  death,  the  fact  of  death,  and  the  result  of  the 
autopsy,  if  one  was  held,  will  be  recorded  in  this  space;  also,  if  the 
death  was  not  due  to  the  cause  of  admission,  the  general,  determining, 
and  all  contributing  causes  thereof,  and  a  statement  whether  the  cause 
originated  in  the  service  and  in  the  line  of  duty,  with  an  explana- 
tion of  the  circumstances  upon  which  the  opinion,  if  negative,  is  based. 
Should  the  cause  of  death  in  any  case  be  unknown,  a  brief  note  of 
such  circumstances  as  may  throw  light  upon  it  will  be  entered.  In 
case  of  suicide  the  cause  or  causes  which  led  to  the  act  will  be  stated. 

(e)  In  case  of  retirement  or  discharge  on  account  of  wound  or 
disease,  the  fact  of  retirement  or  discharge  on  such  accoimt,  and  the 
degree  of  disability,  will  be  recorded  under  this  head;  also,  if  the 
wound  or  disease  for  which  retired  or  discharged  was  not  the  cause 
of  admission,  the  same  will  be  fully  described  and  statement  recorded 
whether  it  originated  in  the  line  of  duty.  When  the  opinion  ex- 
pressed is  "no,"  the  circumstances  attending  the  incidence  of  the 
wound  or  disease  on  which  the  negative  opinion  is  based  will  be 
recorded. 

(/)  The  cases  of  patients  who  are  retired  from  active  service,  or 
wholly  retired  or  discharged  from  the  service,  by  order,  sentence, 
operation  of  law,  or  expiration  of  term  should  be  completed  by  entry 
specifyiag  such  fact;  and  a  statement  should  be  made  of  the  degree 
of  disability  due  to  the  complaint  for  which  the  individual  was  under 
treatment  at  the  time  of  his  separation  from  the  service,  unless  it  was 
unquestionably  not  received  in  the  liae  of  duty. 

((/)  The  cases  of  officer  patients  who  depart  from  the  hospital  or 
command  in  obedience  to  orders  to  proceed  to  their  homes  and  await 
retirement  wiU  be  completed  upon  such  departure  by  recording  the 
fact  thereof  and  its  date. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY.  143 

(Ii)  When  the  disease  or  injury  causing  death  or  discharge  has  been 
aggravated  by  the  willful  and  persistent  refusal  of  the  patient  to  sub- 
mit to  such  reasonable  restrictions,  methods  of  treatment,  or  surgical 
operations  as  would,  m  the  opinion  of  the  medical  officer,  have  con- 
duced to  the  cure  or  to  the  lessening  of  the  disability,  the  fact  should 
be  noted. 

(i)  When  a  patient  is  returned  to  duty  the  entry  "duty"  will 
suffice,  the  cure  bemg  assumed  to  be  complete  unless  a  statement 
to  the  contrary  is  entered. 

(j)  In  case  of  transfer  to  another  hospital  or  command,  the  specific 
destination  of  the  patient  should  be  stated. 

(k)  Desertion  is  final  disposition  of  the  case  and  the  card  should 
be  completed  accordingly.  Should  the  deserter  come  again  under 
military  control  and  resume  the  status  of  sick,  a  new  card  will  be  made 
for  him  as  for  a  new  case,  conformably  to  the  general  rule.  (0.  M.  M, 
D.,  Nos.  6  and  8.) 

461.  Date  of  disposition. — Give  day,  month,  and  year  of  disposition. 
Figures  should  not  be  used  to  designate  months.  In  all  cases  of  dis- 
charge on  certificate  of  disability  the  date  of  dischai'ge  as  given  in  the 
letter  of  notification  from  the  adjutant  will  be  recorded. 

452.  Name  of  hospital,  etc. — ^Enter  in  this  space  on  every  register 
card  the  designation  of  the  hospital,  establishment,  or  organization 
to  which  the  register  pertains,  and  its  location  or  locations  during  the 
period  covered  by  the  card.     Spaces  19  and  20  ("Sent  with  report  of 

S.  &  W.  for  the  month  of "  and  "from")  need  not  be  filled 

out  on  the  register  card. 

453.  Classification.— SipSices  22,  23,  24,  and  25  at  the  bottom  of  the 
face  of  the  card  are  for  the  use  of  the  Surgeon  General's  Office  only, 
and  will  not  be  filled  out  on  the  register  or  report  cards. 

454.  Space  26,  "Days  of  treatment  in  current  case,"  on  back  of 
card,  will  be  filled  out  month  by  month  on  the  register  card,  extending 
the  table  as  may  be  necessary  for  cases  remammg  from  one  year  to 
another.  The  day  of  admission  will  be  counted  as  a  day  of  treatment 
in  every  case.  The  day  of  return  to  duty  will  not  be  counted  as  a 
day  of  treatment.  The  day  of  disposition  for  all  other  cases  under 
treatment  will  be  counted  as  a  day  of  treatment,  except  for  patients 
transferred  to  a  station  or  hospital  in  the  near  vicinity,  who  should 
arrive  at  such  station  or  hospital  on  the  same  day. 

NOMENCLATURE     OF     DISEASES     AND     RULES     FOR     RECORDING      DISA- 
BILITIES. 

455.  Diseases  and  injuries  will  so  far  as  practicable  be  recorded  on 
the  register  in  accordance  with  the  following  table  of  diagnostic 
terms.  The  table  is  not  intended  to  prescribe  a  hard  and  fast  rule,  to 
be  literally  complied  with  in  every  particular,  but  rather  to  furnish 


144 


MANUAL   FOE,   MEDICAL   DEPAETMENT,    IT.    S.    AEMY. 


a  guide  which  should  in  practice  be  substantially  followed.  When 
diseases  or  injuries  occur  for  which  no  terms  are  furnished  in  the 
table,  oi-  for  which  the  terms  furnished  are  general  in  character,  they 
will  be  recorded  under  such  scientific  terms  commonly  applied  to 
them  by  the  profession  as  will  briefly  and  accurately  describe  them, 
(a)  The  letter  L.  in  parentheses  following  a  term  indicates  that  the 
location  of  the  disability  must  be  recorded;  the  letter  C,  its  cause; 
and  the  letter  V.,  its  variety. 

Diagnostic  Terms. 


Abscess,  alveolar. 

Abscess,  periapical,  focal  infection  from. 

Abscess,  perinephritic. 

Abscess,  periproctitis. 

Abscess,  peritonsillar. 

Abscess,  perivesical. 

Abscess,  retrocecal. 

Abscess,  retropharyngeal. 

Abscess,  subphrenic  ((■.). 

Abscess,  tuberculous  (L.). 

Abscess  (all  others)  (L.  C). 

Acanthosis  nigricans. 

Acarodennatitis  (grain  itch). 

Achylia,  gastric. 

Acne  varioliformis. 

Acne  vulgaris. 

Acromegaly. 

Actinomycosis. 

Addison  disease. 

Adenoids. 

Adenoma  (L.). 

Adenoma  sebaceum. 

Adenoma  sudoriparum. 

Adhesions  (L.). 

Adiposis  dolorosa. 

Aerogenes  capsulatus  infection. 

Albuminuria. 

Alcoholism,  acute. 

Alcoholism,  chronic. 

Alopecia. 

Alopecia  areata. 

Amaurosis. 

Amblyopia,  exanopsia. 

Amblyopia,  hysterical. 

Amblyopia,  nocturnal. 

Amblyopia,  toxic. 

Anaemia,  pernicious. 

Anaemia,  simple. 

Anaemia,  splenic. 

Aneurism,  ailerioA^enous. 

Aneurism,  cirsoid. 

Aneurism  of  heart. 


Aneurism  (location  given,  thoracic,  ab- 
dominal, extremities). 

Aneurism,  varicose. 

Aneurismal  varix. 

Angina  pectoris. 

Angiokeratoma. 

Angioma  (L.). 

Angioma  cavernosum. 

Angioma  serpiginosum. 

Angiospastic  edema. 

Anidrosis. 

Ankyloblepharon. 

Ankylosis,  bony,  of  joint  (L.  C). 

Ankylosis,  fibrous,  of  joint  (L.  C.). 

Ankylostomiasis. 

Anorchism. 

Anthrax,  general  infection. 

Anthrax  (malignant  pustule). 

Anuria  calculus. 

Aphakia. 

Aphasia. 

Apoplexy. 

Appendicitis. 

Arterial  hypertension. 

Arteriosclerosis,  general,  or  location  given. 

Ai-thritis  (L.  C.  V.). 

Ascaris  lumbricoides. 

Ascites  (C).  * 

Aspergillosis. 

Asthma. 

Astigmatism. 

Ataxia,  hereditary. 

Athetosis. 

Atony  of  (L.  C). 

Atresia  of  urethra. 

Atrophia  maculata  et  striata. 

Atrophia  senilis. 

Atrophia  unguis. 

Atrophodemia  diffusum. 

Atrophy  of  (L.  C). 

Atrophy,  progressive,  muscular. 

Auricular  fibrillation  (cardiac  arrhyth- 
mia). 

Aiuicular  flutter  (cardiac;  arrhythmia). 


MANUAL  FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY, 


145 


Autointoxication. 

Balanitis. 

Beriberi. 

Blastomycosis. 

Blepharitis. 

Blepharospasm. 

Bradycardia. 

Bromidrosis. 

Bronchiectasis. 

Bronchitis  (V.). 

Broncho-pneumonia. 

Bulbar  palsy. 

Bulbar  syndrome. 

Bursitis  (L.  C.  V.). 

Caisson  disease. 

Calcification  of  cartilage. 

Calculus  (L.). 

Callositas. 

Canities  (grayness  of  the  hair). 

Carbuncle  (L.). 

Carcinoma  (L.). 

Cardiac  arrhytlimia,  extra  systole. 

Cardiac  arrhythmia,  sinus  an-hythmia. 

Cardiac  arrhythmia,  others. 

Caidiac  dilatation. 

Cardiac  disorder,  functional. 

Cardiac  hypertrophy. 

Cardiac  hypertrophy  and  dilatation. 

Cardiac  murmurs,  not  organic,  acciden- 
tal pulmonic  systolic  murmiu's. 

Cai'diac  mm'murs,  not  organic,  cardio- 
functional  apex  systolic  murmurs. 

Cardiac  murmurs,  not  organic,  cardio- 
respiratory murmm's. 

Cardiac  murmurs,  not  organic,  other 
accidental  murmurs. 

Cardiac  palpitation. 

Cataract. 

Cellulitis  (L.  C.  V.). 

Cercomonas  hominis. 

Cestoda  infection  (tapeworm). 

Chalazion. 

Chancroid. 

Chancroidal  lymphadenitis. 

Chancroidal  lymphangitis. 

Chancroidal  paraphimosis. 

Chancroidal  phimosis. 

Chelitis  glandularis. 

Chicken  pox. 

Chilblain. 

Chloroma. 

Choked  disc. 

70156°— 18 10 


Cholangitis  (V.). 

Cholecystitis  (V.). 

Cholelithiasis. 

Cholera  (Asiatic). 

Chondroma  CL.). 

Chorea. 

Choroidal  tumor. 

Choroiditis,  suppiu-ative. 

Choroiditis,  tuberculous. 

Chromidrosis. 

Cicatrices  of -,  painful  (L.  C). 

Cicatricial  contracture  (L.  C). 

Cicatricial  deformity  (L.  C). 

Clavus  (corn). 

Colitis  (C.  v.). 

Color  blindness. 

Combined  sclerosis. 

Comedo  (blackheads). 

Condyloma   acuminatum   (warts,    exter- 
nal genital  organs). 

Conical  cornea. 

Conjuncti\-itis,  cataiThal. 

Conjuncti\dtis,  chemical. 

Conjuncti\dtis,  follicular. 

Conjuncti\itis,  granular  (trachoma). 

Conjunctivitis,  phlyctenular. 

Conjunctivitis,  pm-ulent. 

Conjuncti\'itis,  traumatic. 

Conjuncti\'itis,  vernal. 

Constipation,  atonic. 

Constipation,   cause  not  determined,   or 
when  secondary  diagnosis. 

Constipation,  spastic. 

Constitutional  psychopathic  states,  crim- 
inalism. 

Constituional  psychopathic  states,  emo- 
tional instability. 

Constitutional  psychopathic  states,  inad- 
equate personality. 

Constitutional  psychopathic  states,  para- 
noid personality. 

Constitutional  psychopathic  states,  path- 
ological liar. 

Constitutional  psychopathic  states,  sexual 
psychopathy. 

Contraction  of  plantar  fascia. 

Contractm-e  of  joint  (L.  C). 
Contracture  of  (muscle,   fascia,   tendon 
or  sheath)  (L.  C). 

Cornu  (cutaneous  horns). 

Cowperitis. 

Coxa  valga. 


146 


MANUAL    FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY. 


Coxa  vara. 

Cretinism. 

Cryptorchidism. 

Curvalure  of  spine. 

Cyclitis. 

Cyet(L.). 

Cystadenoma  (L.). 

Cystic  kidney. 

Cysticercus  (L.). 

Cystitis  (C.  V.). 

Cystocele. 

Cystoma  (L.). 

Dacryoadenitis. 

Dacryocystitis. 

Defective  physical  development. 

Dementia  prsecox,  (a)  hebeplirenic  type. 

Dementia  prajcox,  (b)  katonic  type. 

Dementia  prsecox,  (c)  paranoid  type. 

Dementia  praecox,  (d)  simple  type. 

Dengue. 

Dental  disease. 

Dermatitis  exfoliativa. 

Dermatitis  factitia  (eruptions  artificially 
produced). 

Dermatitis  gangi-enosa. 

Dermatitis  herpetiformis. 

Dermatitis  medicamentosa  (drug  erup- 
tions). 

Dermatitis  papillaris  capillitii  (acneke- 
loid). 

Dermatitis  repens. 

Dermatol ysis  (cutis  elastica). 

Dermoid  cyst  (L.). 

Detachment  of  choroid  (L.). 

Detachment  of  retina. 

Deviation  of  nasal  septum. 

Diabetes  insipidus. 

Diabetes  mellitus. 

Diarrhea,  cause  not  determined  or  when 
secondary  diagnosis. 

DiaiThea,  fermentative. 

Diarrhea,  flagellate. 

Diarrhea,  nervous. 

Dilation  of  aortic  arch. 

Dilatation  of  the  colon  (Hirschprung'e 
disease). 

Diphtheria  (L.). 

Diphtheria  bacillus,  carrier. 

Diseases  of  the  thymus  gland. 

Diverticulitis. 

Dupuytren's  contraction  of  palmar  fas- 
cia. 

Dysentery,  bacillary  (specify  type). 


Dysentery,  balantidic. 

Dysentery,  entamoobic. 

Dysentery  (other  protozoal). 

Dysentery,  unclassified. 

Dystrophia  unguis. 

Ecliinococcus. 

Ecthyma. 

Ectopy. 

Ectropion. 

Eczema. 

Eczema  seberrhoeicum. 

Edema  (L.  C). 

Edema  angioneuroticum. 

Elephantiasis. 

Embolism  (L.). 

Embolism,  fat  (L.). 

Emphysema. 

Emphysema  of  orbit. 

Enchondroma. 

Endocarditis,  acute  (give  primary  dis- 
ease). 

Endocarditis,  chronic. 

Endocarditis,  septic  (give  organismj 
found). 

Endothelioma  (L.). 

Enteritis. 

Enteritis,  membranica  (mucous  colitis).. 

Entero-colitis  (C.  V.). 

Entropion. 

Enuresis,  nocturnal. 

Epidermolysis,  bullosa. 

Epididymitis  (C.  V.). 

Epididymo-orchitis  (C.  V.). 

Epiglottiditis. 

Epilepsy. 

Epiphora. 

Epistaxis. 

Epithelioma. 

Epithelioma  multiplex  benignum. 

Epulis. 

Erysipelas  (L.). 

Erysipeloid. 

Erythema  induratum  (Bazin). 

Erythema  multiforme. 

Erythema  nodosum. 

Erythema  scarlatiniforme. 

Erythema  toxicum. 

Erythrasma. 

Esophagus,  diverticula. 

Esophagus,  spasm  of. 

Esophagus,  stricture  of,  from  benign 
tumors. 

Exophthalmic  goiter. 


MANUAL  FOR  MEDICAL  DEPARTMENT,   V.    S.   ARMY. 


147 


Exophthalmos. 

Exostoses  (L.). 

Extravasation  of  mine. 

Facial  paralysis. 

Favus. 

Febricula,  simple  continued,  and  other 
fevers  of  undetermined  cause. 

Fibroma  (L.). 

Filariaais. 

Fissure,  anal. 

Fistula  in  ano. 

Fistula,  between and . 

Fistula,  biliary. 

Fistula,  fecal. 

Fistula  (other)  (L.). 

Fistula,  rectovesical. 

Fistula,  retroureteral. 

Fistula  of  thoracic  duct. 

Folliculitis. 

Folliculitis  decalvans. 

Foot  and  mouth  disease. 

Foreign  body  in  (L.  V.). 

Funiculitis. 

Furuncle  (L.) 

Furunculosis. 

Furunculosis  acute,  vestibule  of  nose. 

Ganglion  (L.). 

Gangrene  (L.). 

Gastritis  (C.  V.). 

Gastro-enteroptosis. 

Gastroptosis. 

Gastro-succorrhea  (hyper  secretion),  con- 
tinuous. 

Gastro-succorrhea  (hypersecretion),  inter- 
mittent. 

General  paralysis  of  the  insane. 

Genu  recurvatum. 

Genu  valgum. 

Genu  varum. 

German  measleSo 

Gigantism. 

Gingivitis. 

Glanders. 

Glaucoma. 

Glaucoma,  secondary. 

Glioma. 

Glossitis. 

Glycosuria. 

Goiter,  simple. 

Gonococcus,  infection  of  (L.). 

Gonorrheal  stricture. 

Gout. 

granuloma  coccidioides. 


Granuloma  fungoides. 

Gynandrism. 

Hallux  valgus  (bunion). 

Hallux  varus. 

Hammer  toe. 

Hay  fever. 

Heart  block. 

Hematemesis. 

Hematuria. 

Hemianopsia. 

Hemiplegia  (C). 

Hemoglobinuria. 

Hemoglobinuric  fever. 

Hemopericardium. 

Hemophilia. 

Hemoptysis. 

Hemorrhage  (L.). 

Hemorrhage  into  retina. 

Hemorrhage  into  vitreous. 

Hemorrhage  under  conjunctiva,  non- 
traumatic. 

Hemorrhoids  (V.). 

Hemothorax. 

Hernia  (L.  V.). 

Hernia  cerebri. 

Hernia  of  muscle  (L.  C). 

Hernia,  strangulated  (L.). 

Herpes  simplex. 

Herpes  zoster. 

Herpes  zoster  ophthalmos. 

Hidroa  vacciniforme. 

Hidrocystoma. 

Hodgkin's  disease. 

Hordeolum. 

Hydrocele. 

Hydrocephalus,  acquired. 

Hydronephrosis. 

Hyperchlorhydria.  (Do  not  use  as  ,?.. 
primary  diagnosis  when  cause  can  be 
determined . ) 

Hyperemia  of  conjunctiva. 

Hyperidrosis. 

Hypernephroma  (L.). 

Hyperopia. 

Hypertrophy  of  (specify). 

Hypertrophy  of  prostate. 

Hyphemia. 

Hypochlorhydria.     (Do    not    use    as    a 
primary  diagnosis  when  cause  can  be 
determined.) 
Hypopyon. 
Hypospadia. 
Hysteria.  ^ 


148 


MANUAL    FOR    MEDICAL   DEPAETMEXT,    U.    S.    ARMY. 


Hysterical; joint  (L.)- 

Ichthyosis. 

Ileus. 

Impacted  cerumen. 

Impacted  molar. 

Impetigo  contagiosa. 

Impetigo  herpetifonnis. 

Impotence. 

Incontinence  of  urine. 

Inebriety,      drug      addiction.     (Specify 

drug.) 
Infarct  (L.  C). 
Infarction  of  lung. 
Infection  of  operation,  wound. 
Influenza. 
Ingrowing  nail  (L.). 
Insomnia. 
Intertrigo. 

Intestinal  indigestion.  (Do  not  use  as 
primary  diagnosis  when  cause  can  be 
determined.) 
Intestinal  obstruction. 
Intestinal  obstruction  from  internal 
causes,  i.  e.,  strictirre  (ulcerations), 
gallstones,  enteroliths,  foreign 

bodies,  fecal  masses. 
Intestinal    obstruction    from    other    ex- 
ternal    causes,     i.     e.,     angulations, 
kinks,    adhesions,    vohoilus,   intussus- 
ception. 
Intestinal    obstruction    from    spastic    or 
paraljiiic    causes    (after    injuries,    op- 
erations,   appendicitis,    peritonitis). 
Intestinal  toxemia  (fermentation). 
Involution  melancholia. 
Iridocyclitis. 
Iritis. 

Jacksonian  epilepsy. 
Jaundice,  acute  infectious.   ' 
ICala  azar. 
Keloid. 

Keratitis,  herpetic. 
Keratitis,  neuropathic. 
Keratitis,  nonulcerative. 
Keratitis,  parenchymatous. 
Keratitis,  phlyctenular. 
Keratitis,  tuberculous. 
Keratitis,  ulcerative. 
Keratoderma. 
Keratoiritis. 
Keratomalacia. 
Keratosis  follicularis  (Darier). 
Keratosis  palmaris  et  plantaris. 


Keratosis  pilaris. 

Keratosis  senilis. 

Lachrymal  obstruction. 

Lagophthalmos. 

Lamblia  intestinalis. 

Laryngitis  (Y). 

Laryngitis,  diphtheritic. 

LarjTigitis,  phlegmanous  acute. 

Larynx,  edema  of. 

Lateral  sclerosis. 

Lcishnianiosis  (American). 

Leishmaniosis  (oriental  sore). 

Leontiasis  ossea. 

leprosy. 

Leptomeningitis  (L.  C.  V.). 

Leucoma. 

Leucoma  adherens. 

Leuconychia. 

Leucoplakia.. 

Lichen  planus. 

Lichen  ruber  (pityriasis  rubra  pilaris). 

Lichen  scrofulosus. 

Lichen  simplex  (Vidal). 

Lingua  geographica. 

Lingua.1  tonsil,  hypertrophy  of. 

Lipoma  (L.). 

Liver,  acute  hyj^eremia. 

Liver,  acute  yellow  atrophy  of. 

Liver,  atrophic  cirrhosis  of. 

Liver,  biliary  cirrhosis  of. 

Liver,  hypertrophic  cin-hosis  of. 

Liver,  passi^'e  hyperemia. 

Loose  bodies  in  — joint  (L.  V.). 

Ludwig's  angina. 

Lumbago. 

Lupus  erythematosus. 

Lupus  vulgaris. 

Lymphadenitis  (L.  C.  V.). 

Lymphadenoma. 

Lymphangiectasis. 

Lymphangioma  (L.). 

Lymphangioma  circumscriptum. 

Lymphangitis  (L.  C.  V.\ 

Lymphocytic  leukemia. 

Lymphosarcoma  (L.). 

Malarial  fever,  estivo-autumnaJ. 

Malaiial  fever,  mixed. 

Malarial  fever,  quartan. 

Malaritil  fever,  tertian. 

Malarial  fever,  undetermined. 

Malignant  edema. 

Malingering. 

Mallet  fin^r. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 


149 


Malnutrition. 
Malta  fe^'er. 
Masochism. 
Mastoiditis. 
Measles. 
Melanoderma. 
Mela,noma. 
Melanosarcoma. 
Meniere's  disease. 

Meningitis,  cerebrospinal  (epidemic), 
^leningitis,  other  than  epidemic  or  tu- 
bercular. 
Meningitis,  tuberculai". 
Mental  deficiency,  border-line  condition. 
Mental  deficiency,  imbecile. 
Mental  deficiency.  Moron. 
Mesothelioma,  neplrrogenic. 
Metatarsalgia. 
^li^aine. 

Miliaria  crystallina  (Sudamina). 
Miiiajria  rubra  (prickly  heat). 
Milium. 
Molluscum. 
Monilethrix. 
Monorchism. 
Morphoea. 
Multiple  sclerosis. 
Mumps. 

Muscular  rheumatism. 
Myasthenia  gravis. 
Mycetoma. 
Mycotic  diseases. 
Myelitis  (L.  C.  V.). 
Myelocytic  leukemia. 
Myeloma,  multiple. 
Myocardial  insufficiency. 
Myocarditis  (V.). 
Myoma  (L.). 
Myopia. 
Myositis. 

Myositis,  progressive  ossifying. 
Jilyotonia  congenita. 
Myxedema. 
Myxoma  (L.). 
Naevus  fibrosus. 
Naevus  linearis. 
Naevus  papUlaris. 
NaevTis  pigmentosus. 
Naevus  pilosus. 
Naevus  vasculaiis. 
NasopharjTigitis,  catarrhal. 
Necrosis  (L.  C). 
Nematoda,  other  infection. 


Nephritis,  acute. 

Nephritis,  chronic  interstitial. 

Nephritis,  chronic  parenchymatous. 

Nephritis,  disseminated,  suppurative. 

Nephiitis,  suppm'ative. 

Nephrogenic  mesothelioma. 

Nephrolithiasis. 

Nephroptosis. 

Nervous  eriictations  (aerophagy). 

Nervous  vomiting. 

Neuralgia  (specify  nerve). 

Neurasthenia. 

Neurasthenia  gastrica  (nervous  indiges- 
tion). (Do  not  use  as  a  primary 
diagnosis  when  cause  can  be  deter- 
mined.) 

Neuritis  (L.  C.  V.). 

Neuritis  (optic). 

Neiudtis  (specify  nerve),  diphtheritic. 

Neuritis  (specify  nerve),  multiple  alco- 
holic. 

Nemitis  (specify  nerve),  multiple,  non- 
alcoholic. 

Neiu'ofibroma  (v.  Recklinghausen). 

Nem-oma  (L.). 

Neuroretinitis. 

Neurosis  (C.  V.). 

No  disease. 

Nose,  external  deformity  of. 

Nostalgia. 

Nystagmus. 

Obesity. 

Obstruction  of  retinal  arteries. 

Onanism. 

Onychauxis. 

Onychia. 

Onycho-mycosis. 

Opacity  of  vitreous. 

Ophthalmoplegia  externa. 

Ophthalmoplegia  interna. 

Ophthalmoplegia,  total. 

Optic  atrophy. 

Orbital  cellulitis. 

Orchitis. 

Osteitis  deformans. 

Osteoma  (L.). 

Osteomalacia. 

Osteomyelitis  (L,  C.  V.). 

Othematoma. 

Other  diseases  of  the  anus. 

Other  diseases  of  the  bile  ducts  and  gall 
bladder. 

Other  diseases  of  the  bladder. 


150 


MANUAL    FOR   MEDICAL   DEPARTMENT,    TJ.    S.    ARMY. 


Others,  circulatory  system,  not  specified. 

Others,  digestive,  not  specified. 

Other  diseases  of  the  ear. 

Other  epidemic  diseases,  not  specified. 

Other  diseases  of  the  esophagus. 

Other  diseases  of  the  eye. 

Other  intestinal  parasites. 

Other  diseases  of  the  kidneys,  not 
specified. 

Other  diseases  of  the  larynx. 

Other  diseases  of  the  liver. 

Other  diseases  of  the  lymphatic  system. 

Other  diseases  of  the  mouth  and  annexia- 

Other  diseases  of  the  nasal  fossae. 

Other  diseases  of  the  nerv^ous  system. 

Others,  nonvenereal,  of  the  male  genital 
organs. 

Others,  organs  of  locomotion,  not  spec- 
ified. 

Other  diseases  of  the  pharynx. 

Others,  respiratorj',  not  specified. 

Others,  of  the  skin,  not  specified. 

Other  general  diseases. 

Others,  not  specified. 

Otitis, external ;  circumscribed  (furuncle). 

Otitis,  external;  diffuse,  acute. 

Otitis,  external;  diffuse,  nonparasitic. 

Otitis,  external;  diffuse,  parasitic. 

Otitis  media  (V.). 

Oxyuris,  vermicularis. 

Ozena. 

Pachymeningitis,  cerebral — suppurative. 

Pachymeningitis  cer^'icalis. 

Pachymeningitis,  hemorrhagic,  internal. 

Pachymeningitis,  spinal,  suppurative. 

Pancreatitis. 

Panophthalmitis. 

Papilloadeno  carcinoma  of  kidney. 

Papilloma  (L.). 

Pappataci  fever. 

Paragonimiasis. 

Parakeratosis  (])arapsoriasis). 

Paralysis  agitans. 

Paralysis,  diphtheritic. 

Paralysis,  muscle,  ischemic. 

Paralysis  of muscle  (L.). 

Paralysis  of nei*ve  (L.). 

Paralysis  of  ocular  muscle. 

Paramyoclonus  multiplex. 

Paianoia  and  paranoiac  conditions. 

Paraphimosis. 

Paraplegia. 

Paratyphoid  fever — a. 


Paratyphoid  fever — h. 

Paronychia. 

Pediculosis  capitis. 

Pediculosis  corporis. 

Pediculosis  pubis. 

Pellagra. 

Pemphigus. 

Pemphigus  vegetans. 

Perforated  nasal  septum. 

Pericarditis,  acute  fibrinous. 

Pericarditis,  adhesive. 

Pericarditis,  purulent. 

Pericarditis,  with  effusion. 

Perichronditis  (C). 

Pericystitis. 

Perigastritis. 

Perinephritis. 

Periorchitis. 

Periostitis  (L.). 

Periprostatitis. 

Peritoneal  adhesions. 

Peritoneal  band  from to  ■ — — — . 

Peritonitis,  acute  diffuse. 

Peritonitis,  acute  local. 

Peritonitis,  chronic. 

Pernio. 

Pes  cavus. 

Pes  planus. 

Phantom  tumor. 

Pharyngitis. 

Pharynx,  phlegmonous  infection,  acute. 

Phimosis. 

Phlebitis  (L.  G.  V.). 

Phlegmoua  diffusa. 

Pityriasis  rosen. 

Pityriasis  rubra  (Hebra). 

PitjTiasis  rubra  pilaris  (lichen  ruber). 

PitjTiasis  simplex. 

Pityriasis  versicolor  (chromophytosis.) 

Plague,  bubonic. 

Plague,  pulmonic. 

Plague,  septicsemic. 

Pleurisy,  fibrinous. 

Pleurisy,  serofibrinous. 

Pleiu'isy,  suppurative. 

Pleuritic  adhesions. 

Pnemnonia,  interstitial. 

Pneumonia,  lobular. 

Pneumonia,  lobar. 

Pneumonia,  unclassified. 

Pneumo])er  icardiuin . 

Pneumothorax. 

Poisoning,  chronic  lead. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 


151 


Poliomyelitis,  anterior,  acute. 

Poliomyelitis,  anterior,  chronic. 

Polycythemia,  clironic. 

Polypus,  nasal. 

Pompholyx  (dysidroais). 

Porokeratosis. 

Presbyopia. 

Priapism. 

Proctitis. 

Prolapse  of  ureter. 

Prostatitis. 

Prostatorrhoea. 

Prurigo. 

Prmigo  nodularis. 

Priu-itus. 

Pruritus  ani. 

Psoriasis. 

Psychasthenia. 

Pay  choneuroses . 

Psychosis,  alcoholic,  acute  hallucinosis. 

Psychosis,  alcoholic,  chronic  paranoid 
type. 

Psychosis,   alcoholic,   delirium  tremens. 

Psychosis,  alcoholic,  Korsakoff's  psy- 
chosis. 

Psychosis,  alcohoHc,  other  types,  acute 
or  clironic. 

Psychosis,  alcoholic,  pathological  in- 
toxication. 

Psychosis,  epileptic. 

Psychosis  due  to  drugs  and  other  ex- 
ogenous toxins,  (a)  Morphine,  co- 
caine, bromides,  chloral,  etc.,  alone 
or  combined  (to  be  specified). 

Psychosis,  manic,  depressive. 

Psychosis,  senile. 

Psychosis,  traumatic. 

Psychosis,  undiagnosed. 

Psychosis,  with  brain  tumor. 

Psychosis,  with  cerebral  arteriosclero- 
sis. 

Psychosis,  with  cerebral  syphilis. 

Psychosis,    with    constitutional    psycho-* 
pathic  inferiority. 

Psychosis,  with  Huntington's  chorea. 

Psychosis,  with  mental  deficiency. 

Psychosis,  with  other  brain  or  nervous 
diseases  (specify  when  possible). 

Psychosis,  with  other  somatic  diseases 
(specify  disease). 

Psycliosis,  with  pellagra. 

Pterygium. 

Ptosis. 


Purpura  simplex. 
Purpura,  hemorrhagica. 
Pyaemia,  surgical. 
Pyelitis. 
Pyelonephritis. 
Pyloric  insufficiency. 
Pylorospasm. 
Pyonephi'osis. 
Pyopneumothorax. 
Pyorrhoea,  alveolaris. 
Rabies. 

Kat-bite  fever. 
Raynaud  disease. 
Rectum,  prolapse  of,  complete. 
Rectum,  prolapse  of,  incomplete. 
Relapsing  fever,  Carter  (Asiatic). 
Relapsing  fever,  Button  (African). 
Relapsing  fever,  Koch. 
Relapsing  fever,  Novy  (American). 
Relapsing     fever,      Obermeyer     (Euro- 
pean). 
Respiratory  irregularity. 
Retention  cyst. 
Retention  of  urine. 
Retinitis,  albuminmic. 
Retinitis,  diabetic. 
Retinitis,  hemorrhagic. 
Retrobulbarnetu'itis. 
Rheumatic  fever,  acute. 
Rhinitis,  acute. 
Rhinitis,  atrophic. 
Rhinitis,  croupous. 
Pihinitia,  hypertrophic. 
Pvhinoscleroma. 
Rickets. 

Rocky  Mountain  spotted  fever. 
Rosacea. 
Rose  cold. 
Rumination. 
Rupture  of  aorta. 
Rupture  of  choroid. 
Rupture  of  globe. 
Ruptm"e  of  heart. 
Ruptvue  of  retina. 
Sapremia. 
Sarcocele. 
Sarcoid. 
Sarcoma  (L.). 
Satyriasis. 
Scabies. 
Scarlatina. 

Schistosomiasis,  intestinal. 
Schistosomiasis,  urinary. 


152 


MANUAL    FOE    MEDICAL    DEPARTMENT,    V.    S.    ARMY. 


Schistosomiasis,  biliarj  (Japonica). 

Sciatica. 

Scleroma  neonatorum. 

Scleritis. 

Scleroderma. 

Scoliosis. 

Scrofuloderma. 

Scurvy. 

Seasickness. 

Sebaceous  cyst  (L.). 

Seborrhea. 

Seminal  vesiculitis. 

Septicemia  general  (specify  organism). 

Septum  of  nose,  deflections  and  spurs. 

Shock. 

Sialadenitis. 

Sigmoiditis. 

Sinus,  empyema  (L.). 

Sinusitis,  ethmoidal. 

Sinusitis,  frontal. 

Sinusitis,  maxillary. 

Sinusitis,  sphenoid. 

Snow  blindness. 

Spermatocystisis . 

Spermatorrhea. 

Spleen,  diseases  of. 

Sporotrichosis. 

Sprue. 

Staphyloma  of  cornea. 

Status  lymphaticus. 

Stenosis  (L.  C). 

Stomach,  acute  dilatation  of. 

Stomach,  adhesions  of. 

Stomach,  arteriosclerosis  of. 

Stomach,  atony  of  (motor  insufficiency, 
first  degi'ee). 

Stomach,  dilatation  of. 

Stomach,  dilatation  of  (motor  insuffi- 
ciency, second  degi'eel. 

Stomach,    fistula    between    and 


Stomach,  hoiu'glass  contraction  of. 
Stomach,  stenosis  of. 
Stomatitis,  aphthous. 
Stomatitis,  catan-hal. 
Stomatitis,  merciuial. 
Stomatitis,  ulcerative. 
StrictTU-e  (L.  C). 
Strongyloides,  intestinal. 
Strongylus  gibsoni. 
Stuttering. 
Sycosis  lupoides. 
Sycosis  vulgaris. 
Symblepharon. 


Sympathetic  ophthalmitis. 

Synechia. 

SjTiovitig  of  (L.  C.  V.). 

Sypliilis,  hereditaiy  (L.). 

S}q)hilis,  primary  (state  manifestations  or 
L.).  _ 

Syphilis,  secondarj^  (state  manifestations 
or  L.). 

Syphilis,  tertiarv  (state  manifestations  or 
L.). 

Syi'ingomyelia. 

Tabes  dorsalis. 

Tachycardia,  paroxysmal. 

Tacliycardia,  simple. 

Talipes. 

Telangiectasis. 

Tenosynovitis  fibrinou-s,  of  muscle. 

Tenosynovitis  serous,  of  muscle. 

Tenosynovitis  suppurative,  of  muscle. 

Teratoma. 

Tetanus. 

Thoracoabdominal  fistula. 

Thoracogastric  fistula. 

Thrombosis  (L.). 

Tics. 

Tonsillitis,  clironic. 

Tonsillitis,  follicular. 

Tonsillitis,  hypertrophic. 

Tonsillitis,  parenchymatous,  supptirative, 
or  "quinzy. " 

Tonsils,  focal  infection  from. 

Trematoda  infection. 

Trench  fever. 

Trend  I  foot. 

Ti-encli  moutli. 

Trichomonas  intestinalis. 

Tiichophytosis,  Barbae. 

Trichophytosis,  capitis. 

Tiichophytosis,  corporis. 

Trichorrhexis  nodosa. 

Trigger  finger. 

Trypanosomiasis. 
.Tuberculide  (papulo-necrotic). 

Tuberculosis  (L.\ 

Tuberculosis,  abdominal. 

Tuberculosis,  general  miliary. 

Tuberculosis,  pulmonary  acute. 

Tuberculosis,  pulmonary  acute,  broncho- 
pneumonic. 

Tuberculosis,    pulmonary    acute,     mili- 
ary. 

Tuberculosis,    pulmonarj-    acute,    pneu- 
monic. 

Tuberculosis,  pulmonary  chronic. 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 


153 


Tuberculosis,  pulmonary  chronic  ac- 
tive. 

Tuberculosis,  pulmonan,-  chronic  ar- 
rested. 

Tuberculosis  veniicosa. 

Tumors,  benign  (other)  (L.  V.). 

Tumor,  brain  (specify  location). 

Tumor,  spinal  cord. 

Tunica  vaginalis,  hematocele  of. 

Turbinate,  hypertrophy  of. 

Typhoid  bacillis  carrier. 

Typhoid  fever. 

Typhoid  vaccination. 

Typhus  fever. 

Ulcer  (L.  C.  V.). 

Ulcer,  duodenal  or  jejunal.  (State  when 
hyperchlorhydrea  or  hypochlorhydria. 
when  hemorrhage  or  stenosis.) 

Ulcer  of,  decubital  (L.). 

Ulcer  of  foot,  perforated  (L.). 

Ulcer  of  mouth.  (Do  not  use  as  primary 
diagnosis  when  cause  can  be  deter- 
mined.) 

Ulcer  of  stomach.  (State  when  hyper- 
chlorhydria  or  hypochlorhydria,  hem- 
orrhage or  stenosis.) 

Ulcer,  peptic  of  (L.). 

Ulcer,  perforated  (L.  C). 

Under  observation,  undiagnosed,  or  un- 
known. 

Union  of  fracture  faulty. 

Urernia. 

Ureteral  colic. 

Ureteritis. 

Urethritis,  acute  (non venereal). 


Urethritis,  chronic  (nonvenereal). 

Uridro.'-fis.  ^ 

Urticaria. 

Urticaria  pigmentosa. 

Uveitis. 

Vaccina  (cowpox). 

Vagotonia. 

Valvxilar  heart  disease,  aortic  insuffi- 
ciency. 

Vahailar  heart  disease,  aortic  stenosis. 

Valvular  heart  disease,  combined  lesions, 
aortic  and  mitral. 

Valvular  heart  disease,  mitral  insuffi- 
ciency. 

Valvular  heart  disease,  mitral  stenosis. 

Valvular  heart  disease,  pulmonic  lesions. 

Valvular  heart  disease,  tricuspid  lesions. 

Varicocele. 

Varicose  ulcer. 

Varicose  veins. 

Variola  (smallpox). 

Vaso-motor  catarrh. 

Verruca  (wart). 

Verruca  seborrhoeica. 

VeiTuga  peruviana. 

Vincent's  angina. 

Visceroptosis. 

Vitiligo. 

Whooping  cough. 

Xanthelasma  (eyelids). 

Xanthoma. 

Xeroderma  pigmentosum. 

Xerosis. 

Yaws. 

Yellow  fever. 

Zoster. 


Traumatisms. 


Abrasion  (L.  C). 

Auricle,  wounds  and  injuries  of  (C). 

Avulsion  (L.  C). 

Bites. 

Blister  (L.  C). 

Blood  donor. 

Bums  (L.  G.  D.). 

Burn,  chemical  (L.  C.  D.), 

Bum,  X-ray. 

Castration,  traumatic. 

Cataract,  traumatic. 

Compression. 

Concussion  (L.  C). 

Conjunctivitis,  traumatic. 

Cornea,  foreign  body  in. 

Crashing  (L.  C). 


Decapitation. 

Deprivation  of  water. 

Dermatitis  actinica  (sunburn  and  radio- 
dermal). 

Dermatitis  calorica. 

Dermatitis  traumatica. 

Dermatitis  venenata. 

Dislocation  (L.  C.  V.). 

Dislocation  of  articular  cai-tilage  of 
knee  joint. 

Drowning,  accidental. 

Drowning,  not  accidental  (C). 

Electric  shock. 

Electrical  burn  (L.). 

Emphysema,  traumatic  (L.). 

Epilation,  trautaatic  (L.). 


154 


MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S,    ARMY. 


Ei)i])hyseal  .so]jaration  (state  bone). 
Exhaustion  from  overexertion. 
Exhaustion  from  overexposure. 
Exposure  to  extreme  cold. 
E}-e,  traumatic  rupture  of. 
Eye,  other  wounds  and  injuries  of  (C). 
Foreign  body,  traumatic  (L.). 
Fracture,  compound  (L.  C). 
Fracture,  simple  (L.  C). 
Fracture,  comminuted  (L.  C.). 
Fracture  of,  arrest  of  growth  following. 
Fracture  of,  cross  union  following. 
Fracture,  delayed  union  following. 
Fracture  of  skull,  depression  following. 
Fracture  of,    exuberance  of  growth  fol- 
lowing. 
Fracture  of,  faulty  union  following. 
Fracture  of,  fibrous  union  following. 
Fracture  of,  nonunion  following. 
Fracture  of,  painful  callus  following. 
Fracture  of,  pseudarthrosis  following. 
Fracture  of,  weakness  of  callus  following. 
Frostbite. 

Gases,  deleterious  absorption  of. 
Gunshot  wound  (L.). 
Hematocele,  tunica  vaginalis,  traumatic. 
Hematoma,  traumatic  (L.). 
Hemorrhage  into  joint,  traumatic  (L.  0.). 
Hemorrhage  (L.  C). 
Hemorrhage,  subdural. 
Heajt  rupture  (C . ) . 
Heat,  ill-defined  effects  of. 
Homicide  (state  means). 
Infection  of  wound. 
Lightning  stroke. 
Myelitis,  traumatic. 
Myositis,  traumatic  ossifying. 


Painful  stump  following  amputation. 

Poisoning  by  food  (specify  food). 

Poifloning,  other,  acute. 

Prolapse  of  ciliary  body. 

Prolapse  of  iris. 

Rupture  (L.  C). 

Secondary  results  of  injury. 

Self-mutilation  (state  fully). 

Serum  intoxication. 

Skin  donor. 

Smoke  inhalation. 

Sprain  of  joint  (L.). 

Starvation. 

Strain  (state  muscle). 

Strangulation. 

Submersion  (nonfatal). 

Suffocation. 

Suicide  (state  means). 

Sunstroke. 

Syno\'itis,  traumatic  (L.  C). 

Traumatic  amputation  (L.  G.). 

Traumatic  neuritis  (L.  C). 

Urethral  fever,  traumatic  (C). 

Venomous  bites  and  stings. 

Wound,  contused  (L.  C). 

Wound,  incised  (L.  C.). 

Wound  of,  communication  with  dis- 
location (L.  C.). 

Wound  of,  communication  with  frac- 
ture (L.  C.). 

Wound,  laceration  of  (L.  C.). 

Wound,  punctured  (L.  C.). 

Wound,  extensive. 

Wound,  multiple. 

Wound,  penetrating  (L.  C.). 

Wound,  perforating  (L.  C.). 

(C.  M.  M.  D.,  No.  6.) 


456.  The  following  special  requirements  will  be  observed: 

(a)  Pathological  lesions  should  be  recorded  rather  than  their  symp- 
toms. 

(h)  In  &]}  cases  in  which  the  cause  of  admission  is  a  local  manifesta- 
tion of  a  g  .^eral  affection  the  character  and  locality  of  the  one  and 
the  nature  of  the  other  should  be  stated. 

(c)  The  organ  or  part  affected  should  be  specified  when  the  name 
of  the  morbid  condition  fails  to  indicate  it,  as  in  paralysis,  aneurism, 
ulcer,  herpes,  etc.;  also  in  inflammations,  as  adenitis,  osteitis,  artliritis, 
synovitis,  etc.,  and  in  local  injuries,  as  abrasions,  burns,  contusions, 
dislocations,  etc. 

(cZ)  Inflammations  should  be  reported  as  acute  or  clironic,  and  the 
grade  of  the  inflamriiatory  condition  of  the  mucous  membranes, 
whether  catarrhal  or  suppurative,  should  be  stated. 


MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY.  155 

(g)  The  term  "heart  disease"  should  not  be  recorded  when  the 
special  affection  can  be  determined. 

if)  In  pulmonary  affections  the  lobe  or  lobes  involved  should  be 
designated;  also,  in  the  case  of  diseases  that  are  not  always  bilateral, 
whether  the  disease  is  confined  to  the  right  or  left  or  extends  to  both 
lungs.     The  complications  of  pleurisy  should  be  particularly  noted. 

(g)  Deviations  from  the  normal  in  cases  of  impairment  of  vision  or 
hearing  should  be  ascertained  and  noted. 

(h)  In  case  of  injury,  its  character,  location,  and  severity  should  be 
stated,  the  date  of  its  occurrence  should  be  given,  its  cause  should  be 
noted,  the  nature  of  the  missile,  weapon,  or  other  producing  agent 
shown,  and  the  circumstances  attending  its  origin  indicated.  If  it 
was  accidental,  that  fact  should  appear.  If  it  was  intentional,  the 
record  should  show  whether  it  was  judicial,  homicidal,  suicidal,  seK- 
inflicted,  or  otherwise,  as  the  case  may  be.  In  gunshot  wounds  the 
points  of  entrance  and  exit  of  the  missile  and  the  parts  implicated 
should  be  recorded. 

(i)  Fractures  should  be  designated  as  simple,  comminuted,  com- 
pound, or  complicated,  the  character  of  the  compUcations  being 
stated. 

(j)  The  exact  location,  variety,  and  cause  of  hernia  should  be 
given,  and,  when  strangulated,  the  condition  and  the  means  em- 
ployed for  relief. 

(k)  Diseases  due  to  venereal  contagion,  to  the  abuse  of  stimulants 
or  narcotics,  or  to  immoral  practices  should  be  so  recorded. 

(Z)  Distinction  should  be  made  between  inflammations  of  venereal 
origin  and  those  of  nonvenereal  origin,  as  in  cases  of  balanitis,  orchitis, 
bubo,  etc.,  specifying  the  nature  of  the  venereal  cause  and  the  causa- 
tion in  the  nonvenereal  cases. 

(m)  Distinction  should  also  be  made  between  the  venereal  ulcer 
known  as  chancroid  and  the  hard  chancre  of  primary  syphihs. 

(n)  The  terms  ''venereal  warts,"  "venereal  bubo,"  etc.,  are  in- 
definite and  should  not  be  used.  The  lesion  should  be  recorded  and 
its  specific  cause  stated.  , 

(o)  When  the  case  is  an  old  disease  or  injury  that  fact  wiU  be  re- 
corded by  the  word  "old"  in  parentheses  in  the  cause  of  admission 
space,  followed  by  the  diagnosis,  showing  the  original  disease  or  in- 
jury, and  its  condition  at  the  date  of  current  admission.  If  there  is 
no  record  in  the  register  of  the  original  disease  or  injury  record  will 
also  be  made  under  this  head  of  its  origin  (date,  place,  cause,  attend- 
ing circumstances,  etc.,  as  may  be  appropriate);  but  if  the  record  of 
origin  appears  in  the  register  for  a  previous  admission  the  same  need 
not  be  repeated,  but  may  be  referred  to  as  follows:  "For  original 

disease  or  injury,  see  Reg.  No. ." 

(p)  In  all  cases  of  poisoning  the  name  of  the  poison  should  be 
given. 


150  MAXUAL    FOTt    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

(</)  Special  notes  should  be  made  of  cases  of  malingering  or  feigned 
diseases  and  of  the  means  employed  for  their  detection. 

(r)  Wlien  no  diagnosis  can  be  reached,  the  fact  should  be  stated, 
together  v/ith  the  conditions  which  prevent  the  recognition  of  the 
disease  or  injury.     {C.  M.  M.  D.,  No.  6.) 

REPORT    OF    SICK    AND    WOUNDED. 

457.  The  report  of  sick  and  wounded  comprises,  (1)  the  report 
sheet  (Form  51),  which  provides  for  general  information  and  numer- 
ical tabulations  concerning  the  command  and  the  civihans  there- 
with; (2)  the  nominal  check  hst  (Forms  51a  and  516)  for  a  chrono- 
logical list  of  cases  registered;  (3)  the  report  cards  (Form  52)  for 
details  of  the  several  cases. 

458..  Subject  to  exceptions  similar  to  those  indicated  in  paragraph 
427,  this  report  is  requned  monthly  from  every  military  post  and 
separate  command  which  is  attended  by  a  medical  officer  or  civihan 
phj^sician.  It  will  be  rendered  separately  for  regular  and  volunteer 
troops,  that  of  regulars  to  embrace  all  data  pertaining  to  civilians. 
It  wall  be  forwarded  before  the  fifth  day  of  the  next  succeeding 
month  as  foUows:  From  a  general  hospital  or  other  independent  post 
or  command  direct  to  the  Surgeon  General,  unless  otherwise  ordered 
by  him;  from  a  transoceanic  Army  transport  to  the  medical  superin- 
tendent of  the  transport  service  at  the  transport's  home  port,  for 
transmittal  to  the  Surgeon  General ;  and  from  any  other  organization 
or  hospital  to  the  department  surgeon  for  like  transmittal. 

(a)  When  a  hospital  is  closed  or  a  command  is  discontinued  a 
report  covering  the  unreported  period  of  service,  giving  the  beginning 
and  the  end  thereof,  will  in  like  manner  be  forwarded  within  five 
days  thereafter. 

(b)  If  there  has  been  no  case  on  sick  report,  either  remaming  from 
last  report  or  admitted  during  the  month,  Form  51  will  nf^vertheless 
l>e  forwarded.  It  will  give  the  name  and  strength  of  the  command, 
etc.,  with  such  remarks  as  may  be  deemed  of  interest  to  the  depart- 
ment surgeon  or  the  Surgeon  Qeneral, 

459.  All  births  and  marria,ges  occurring  at  the  post  or  with  the 
command  and  all  deaths  among  the  civilians  with  the  command  will 
be  recorded  on  the  report  of  sick  and  wounded  under  the  headmg 
''Births,  maiTiages,  and  deaths." 

460.  A  report  card  is  required  for  every  case  registered  during  tlie 
month,  and  if  the  case  is  not  completed  until  a  subsequent  month  a 
scM^ond  report  card  will  be  forwarded  with  the  report  for  the  month 
during  which  it  is  completed.  With  the  report  for  December,  report 
cards  wiU  be  forwarded  also  for  all  cases  remaining  December  31 
which  were  registered  previous  to  December. 


MANUAL    FOR    MEDICAL    DEPARTMEXT.    U.    S.    ARMY.  157 

(a)  A  duplicate  of  the  report  sheet  and  of  the  nominal  list  will  be 
retained  with  the  medical  records  of  the  post  or  command.  At  a 
permanent  post  the  duplicate  report  sheets  will  be  filed  in  and  form 
a  part  of  its  medical  history.     (See  par.  412.) 

(b)  The  senior  medical  officer  will  fill  in  and  sign  the  certificate  at 
the  foot  of  the  first  page  of  the  report  sheet.  (See  par.  400.)  The 
report  cards  will  be  mitialed  as  provided  in  paragi-aph  435  for  reg- 
ister cards.  If  there  is  neither  medical  officer  nor  civilian  physician 
with  the  command  when  the  report  is  to  be  made,  the  ofiicer  in 
charge  of  the  property  of  the  hospital  will  make  the  report  over  his 
own  signature  and  initial  the  cards.     (C.  M.  M.  ID.,  No.  6.) 

461.  Keports  of  sick  and  wounded  received  by  a  department  sur- 
geon "vvill  be  promptly  subjected  to  a  critical  examination,  and  such 
memoranda  taken  therefrom  as  he  may  need  for  the  purposes  of  his 
office.  Should  he  fuid  the  papers  correct,  he  will  forward  them  at 
once  by  mformal  indorsement  (e.  g.,  dating  stamp  on  the  report 
sheet  to  the  Surgeon  General.  Should  he  find  any  eiTors  therein, 
he  will  immediately  by  letter  to  the  responsible  surgeon  call  atten- 
tion to  the  same  and  direct  the  necessary  action  for  their  correction. 
He  will  not,  however,  detain  the  papers  in  his  office  awaiting  cor- 
rection, but  will  as  in  the  other  event  forward  them  at  once  to  the 
Surgeon  General  in  like  manner  with  a  copy  of  his  letter  in  the 
premises.  The  surgeon  should  reply  to  the  department  surgeon's 
letter  by  indorsement  thereon.  (See  also  pars.  462,  463,  and  464.) 
After  the  reply  has  been  noted  by  the  department  surgeon  it  v/ill  be 
forwarded  without  delay  to  the  Surgeon  General. 

CORRECTIONS  OF  AND  ADDITIONS  TO  REPORT  CARDS  AFTER  THEIR. 

RENDITION. 

462.  Eescinded.     {C.  M.  M.  D.,  No.  6.) 

463.  When  the  diagnosis  is  changed,  or  a  complication  or  inter- 
current disability  is  noted,  or  other  corrections  or  alterations  are 
made  on  the  register  card  of  a  remaining  case  before  its  completion 
(par.  436)  and  after  the  first  report  card  of  the  case  has  been  for- 
warded, a  new  card,  signed  by  the  senior  medical  officer,  marked 
''Correction  card"  in  the  upper  margin  of  the  front  of  the  card, 
indicating  plainly  w^hat  the  changes,  corrections,  or  alterations  are, 
will  be  forwarded  with  the  next  ensuing  monthly  report:  Provided, 
That  when  the  case  is  completed  upon  the  next  ensuing  monthly 
report  the  card  required  upon  the  completion  of  the  case  under 
paragraph  460  will  be  sufficient,  and  a  separate  correction  card  will 
not  be  forwarded,  but  every  variance  from  the  first  report  card  of  the 
case  will  be  explained  by  the  term  "corrected  entry"  noted  on  the 
back  with  proper  reference  for  connecting  the  record  as  indicated  in 
paragraph  434«..     {C.  M.  M.  D.,  No.  6.) 


158  MAXUAL    FOR    MEDICAL   DEPARTMENT,    U,    S.    ARMY. 

464.  When  the  register  card  of  a  completed  case  is  altered  under 
paragraph  436a  after  its  final  report  card  has  been  rendered,  a  cor- 
rection card  similarly  marked  and  signed  by  the  senior  medical 
officer,  showing  plainly  all  the  alterations,  will  be  immediately 
forwarded  to  the  Surgeon  General  through  the  usual  channel.  When 
a  supplemental  card  is  filed  with  the  register  card  of  a  completed 
case  conformably  to  paragraph  436a,  a  full  and  exact  copy  thereof 
marked  ''Transcript  of  supplemental  card"  in  the  upper  margin  on 
the  front  of  the  card  will  be  at  once  forwarded  likewise.  (C.  M.  M.  D., 
No.  6.) 

REGISTER    OF    DENTAL.    PATIENTS    AND    REPORT    OF 
DENTAL  WORK. 

465.  A  register  of  dental  patients  will  be  kept  on  cards.  Form  79, 
at  every  post  or  station  attended  by  a  member  of  the  Dental  Corps. 

466.  The  case  of  every  officer  and  enlisted  man  of  the  Army  who 
is  treated  by  the  dentist  will  be  entered  in  the  register,  a  separate 
card  being  made  for  each  period  of  continuous  treatment.  Upon 
the  conclusion  of  continuous  treatment  in  any  case  its  card  will  be 
closed  by  appropriate  entry  in  the  ''Results"  column. 

(ff )  Should  it  become  necessary  to  discontinue  work  on  a  case  on 
account  of  the  dentist's  departure  from  the  station  the  case  will  be 
closed  on  the  card,  making  a  record  of  the  status  of  the  work  in  the 
"Results"  column. 

(6)  If  an  officer  or  soldier  previously  on  the  register,  i.  e.  for  whom 
a  closed  dental  card  is  on  ffie,  should  begin  a  new  course  of  treatment, 
whether  for  the  dental  disabilities  formerly  treated  or  otherwise, 
a  new  card  will  be  made  for  the  new  course  of  treatment. 

467.  The  dental  cards  in  the  several  cases  will  be  made  day  by  day 
as  the  treatments  begin.  They  will  be  kept  in  two  files,  each  ar- 
ranged in  dictionary  order  according  to  the  surnames  of  the  patients — 
the  current  file  and  the  permanent  ffie.  The  current  file  vnW  consist 
of  the  cards  of  all  uncompleted  cases  and  the  completed  cards  in 
current  use  for  the  preparation  of  the  next  report  of  dental  work. 
Cards  will  be  transferred  from  the  current  file  to  the  permanent  file 
immediately  following  their  completion  and  the  preparation  of  the 
ensuing  report  of  dental  work. 

468.  The  cards  will  be  legibly  written  in  indelible  black  ink,  by 
pen  or  typewriter,  as  may  be  most  convenient.  The  entries  will  not 
be  crowded.  Extended  entries,  when  necessary,  may  be  made  in  the 
manner  indicated  in  paragraph  434a. 

469.  The  dentist  will  sign  or  initial  all  dental  cards  covering  treat- 
ments given  or  concluded  by  him.  Alterations  will  be  authenticated 
by  liim  by  his  initials. 

470.  The  nomenclature  given  on  page  2  of  the  monthly  report  of 
dental  work  (Form  57)  will  be  employed  so  far  as  applicable  in  record- 
ing dental  and  oral  diseases  and  injuries. 


MANUAL  FOR   MEDICAL  DEPARTMENT,   V.    S.    ARMY. 


159 


471.  To  effect  economy  of  space  and  insure  uniformity  of  records, 
abbreviated  entries  are  prescribed  as  indicated  in  the  following 
tables : 

CLASSIFICATION  OF  THE  TEETH. 


1. 

Superior  central  incisors. 

9. 

Inferior  central  incisors. 

2. 

Superior  lateral  incisors. 

10. 

Inferior  lateral  incisors. 

3. 

Superior  cuspids. 

11. 

Inferior  cuspids. 

4. 

Superior  first  bicuspids. 

12. 

Inferior  first  bicuspids. 

5. 

Superior  second  bicuspids. 

13. 

Inferior  second  bicuspids 

6. 

Superior  first  molars. 

14. 

Inferior  first  molars. 

7. 

Superior  second  molars. 

15. 

Inferior  second  molars. 

8. 

Superior  tliird  molars. 

16. 

Inferior  tliird  molars. 

Note.— In  designating  the  teeth,  and  in  recording  all  operations  upon  them,  the  dental  surgeon  will 
indicate  the  tooth  by  the  above  plan,  using  the  letters  R  and  L  to  designate  the  right  and  left  sides  and 
t.he  figures  1,  2,  3,  etc.,  to  designate  the  teeth. 

Examples. — Rl,  right  superior  central  incisor;  L14,  left  inferior  first  molar. 

CLASSIFICATION  OF  CAVITIES. 

Simple  cavities  on  exposed  surfaces. 


Incisors  and  cuspids: 

A.  Labial. 

B.  Lingual. 

C.  Incisal. 


Incisors  and  cuspids: 
G.  Mesial. 
H.  Distal. 


Incisors  and  cuspids: 

K.  Mesio-labial. 
L.  Disto-labial. 
M.  Mesio-lingual. 
N.  Disto-lingual. 
O.  Mesio-incisal. 
P.  Disto-inciaal. 
Q.  Mesio-disto-incisal. 


Bicuspids  and  molars: 

D.  Occlusal. 

E.  Buccal. 

F.  Lingual. 


Simple  approxvmate  cavities. 


Bicuspids  and  molars: 
I.    Mesial. 
J.    Distal. 


CompouTid  cavities. 


Bicuspids  and  molars: 

R.  Mesio-occlusal. 

S.   Disto-occlusal. 

T.  Occluso-buccal. 

U.  Occluso-lingual. 

V.  Mesio-disto-occlusal. 

W.  Bucco-linguo-occlusal. 


Note. — In  recording  all  operations  of  flUing  the  teeth,  the  cavity  will  be  described  by  the  dental  surgeon 
according  to  the  preceding  classification,  using  the  letters  A,  B,  C,  etc.,  to  designate  its  location. 

Examples. — A,  simple  cavity  in  labial  surface  of  an  incisor  or  cuspid  tooth;  I,  simple  cavity  in  mesial 
surface  of  a  bicuspid  or  a  molar;  V,  compound  cavity  ia  mesial,  distal,  and  occlusal  surfaces  of  a  bicuspid 
or  a  molar. 

CLASSIFICATION  OF  FILLING  MATERIALS. 


Tin. 
Amalgam. 


Oxyphospbate. 
Gutta-percha. 


Note.— The  kiod  of  filling  material  employed  will  be  indicated  by  using  the  first  letter  of  the  word  desig- 
nating that  material. 

Example. — R5,  V,  A:  Tooth,  right  superior  second  bicuspid;  cavity,  mesio-disto-occlusal  surfaces;  filling 
material,  amalgam. 

If  a  coml)ination  filling  is  employed,  it  will  be  designated  by  the  first  letters  of  the  words  designatiag 
the  materials  used. 

Example. — L7,  S,  G-0:  Tooth,  left  superior  second  molar;  cavity,  disto-occlusal  surfaces;  filling  material, 
gutta-oercha  and  oxyphosphate  cement. 


160  MANUAL    FOR    MEDICAL    DEPARTMENT.    U.    S.    ARMY. 

OTHER  OPERATIONS  AND  ABBREVIATIONS. 

In  recordins;  operations  made  with  gold  the  full  word  gold  should  be  written  out. 
Other  operations  upon  the  teeth  will  be  designated  by  a  combination  of  letters,  as 
follows: 


Absce.ss  lanced :  A-L. 
Calculus  removed :  C-R. 
Gums  lanced:  G-L. 
Pulp  capped:  P-C. 
Pulp  de\'itali zed:  P-D. 


Pulp  extirpated :  P-E. 
Root  canal  filled:  R-F. 
Tooth  extracted:  T-E. 
Tooth  treated:  T-T. 
Further  treatment:  F-T. 


472.  Details  of  cases  will  be  carded  as  follows: 

(a)  Spaces  1  to  9  will  be  filled  out  in  the  manner  prescribed  for 
the  register  of  patients  (pars.  437  to  442).  » 

(b)  In  space  10  the  diagnosis  will  be  recorded.  One  line  should  be 
taken  for  each  morbid  condition  requiring  treatment  which  is  found 
when  the  case  is  first  entered  or  which  subsequently  develops  during 
the  course  of  the  treatment. 

(c)  The  date,  nature,  and  result  (as,  e.  g.,  cured,  improved,  unim- 
proved, successful,  unsuccessful,  or  undetermxined)  of  the  treatment 
of  each  such  condition  will  be  entered  in  spaces  11  and  12,  ^^dth  such 
additional  remarks  in  the  latter  space  as  may  be  appropriate. 

473.  A  report  of  dental  work  is  required  monthly  on  Form  57 
from  every  military  post  or  command  at  or  with  which  a  member  of 
the  Dental  Corps  has  been  on  duty  during  the  month.  It  will  be 
made  and  signed  by  the  dentist.  If  no  patients  have  been  treated 
during  the  month,  the  report,  with  a  statement  to  that  effect  under 
"General  remarks,"  will  nevertheless  be  rendered. 

(a)  The  report  wiU  be  forwarded,  tlu-ough  medical  channels,  to 
the  Surgeon  General,  before  the  fifth  day  of  the  next  succeeding 
month. 


ARTICLE  IX.— SUPPLIES  AND  MATERIALS. 


GENERAL  PROVISIONS. 

474.  The  supply  table  enumerates  the  medical  supplies  issued  to 
the  Army  and  the  quantities  and  sizes  of  original  packages.  These 
supplies  are  selected  for  the  military  service,  and  it  is  believed  that 
all  necessary  articles  are  included  and  that  the  quantities  allowed 
will  be  found  sufficient  under  ordinary  circumstances.  Requests 
for  particular  preparations  simply  because  they  are  agreeable  to  the 
taste  or  save  trouble  in  compounding  will  not  be  approved;  nor 
will  preparations  of  a  drug  be  furnished  when  one  or  m_ore  practically 
equivalent  ones  are  on  the  supply  table.  The  Medical  Department 
vdll  supply  from  time  to  time  new  remedies  of  determined  thera- 
peutic value,  but  newly  introduced  remedies  which  offer  no  manifest 
advantage  over  those  already  issued  will  not  be  supplied. 

(a)  Medical  officers  are  requested  to  communicate  freely  to  the 
Surgeon  General  any  suggestions  tending  to  the  improvement  of 
medical  supplies,  appliances,  etc.,  and  to  make  reports  as  to  new 
designs  of  apparatus,  field  equipment,  etc. 

475.  In  preparing  returns,  rec{msitions,  invoices,  and  receipts 
pertaining  to  medical  and  hospital  supplies,  the  nomenclature,  order 
of  entry,  classification,  and  weights  and  measures  of  the  supply 
table  will  be  followed.  To  facilitate  the  handling  of  these  papers 
one  line  of  writing  only  will  be  placed  in  each  interlinear  space.  No 
letter  of  transmittal  is  required  with  them. 

476.  Medical  officers  in  charge  of  medical  supply  depots  vrill  pur- 
chase and  distribute  medical  and  hospital  supplies  for  the  Army 
according  to  instructions  given  them  from  time  to  time  by  the 
Surgeon  General.  (See  par.  380.)  Purchases  at  posts  or  by  officers 
not  in  charge  of  supply  depots  (except  prescriptions  purchased  under 
the  provisions  of  Army  Regulations,  and  antitoxins  purchased  under 
the  authority  indicated  hereinafter  in  the  supply  table)  will  not 
usually  be  made  without  special  authority  from  the  Surgeon  General, 
or,  in  the  Philippine  Department  or  Hawaiian  Department,  from  the 
department  surgeon.  When  the  emergency  is  so  great  that  there 
is  not  time  to  obtain  special  authority  by  mail  through  the  regular 
channels,  application  therefor  may  be  made  direct  by  telegraph. 
When  it  is  impracticable  to  telegraph,  small  quantities  of  articles  im- 
mediately needed  to  save  life  or  prevent  suffering  and  distress  among 

701.56°— 18 11  .  161 


162  MANUAL  FOR   MEDICAL  DEPARTMENT^   U.    S.   ARMY. 

tlio  sick  may  be  purchased  Avitliout  advance  authority.  Vouchers 
for  such  unauthorized  purchases  will  be  forwarded  without  delay 
on  Form  330  or  Form  330a,  W.  D.,  to  the  department  surgeon,  or  if 
from  a  command  under  the  immediate  supervision  of  the  War  Depart- 
ment to  the  Surgeon  General,  unless  othenvise  directed  by  him. 
They  must  invariably  be  accompanied  by  a  letter  explaining  why  the 
necessary''  articles  were  not  on  hand,  and  what  the  circumstances 
were  which  did  not  admit  of  requiring  for  them  in  the  regular  way 
or  of  making  telegraphic  application  for  authority  to  purchase  them. 
Timely  action  in  requiring  for  supplies  will  as  a  rule  obviate  the  neces- 
sity of  telegraphic  application  or  of  unauthorized  purchases, 

(a)  Purchase  vouchers  must  be  accompanied  by  one  invoice  of 
articles  purchased.  Form  12,  a  duplicate  of  which  should  be  retained 
by  the  officer  accountable  for  the  property. 

REQUISITIONS. 

POST    MEDICAL    SUPPLIES. 

477.  Annual  requisitions  for  post  medical  supplies  will  be  prepared 
on  Form  33,  for  the  year  commencing  January-  1,  unless  some  other 
date  is  designated  b}'  the  Surgeon  General. 

(a)  They  will  be  forwarded  not  less  than  20  days  before  the  begin- 
ning of  the  year,  to  the  department  surgeon,  in  quadruplicate,  or 
in  the  case  of  general  hospitals  and  independent  posts  direct  to  the 
Surgeon  General  in  triplicate. 

478.  Articles  of  which  a  definite  allowance  is  given  on  the  supply 
table  will  be  required  for  on  the  annual  requisition  except  as  other- 
wise provided  in  paragraph  486.  No  remark  v/ill  be  made  opposite 
the  name  of  any  article  that  a  special  kind  or  special  make  or  pattern 
is  wanted,  as  the  annual  requisition  is  intended  to  include  only  such 
articles  as  are  kept  on  hand  in  supply  depots  for  issue,  and  not  such 
as  have  to  be  speciall}^  purchased;  the  latter  when  wanted  must  be 
asked  for  on  special  requisition. 

(a)  Only  such  quantities  will  be  asked  for  as  probably  will  be  needed 
during  the  year,  computed  on  the  basis  of  original  packages.  Frac- 
tional parts  of  a  bottle  or  package  will  not  be  asked  for.  The  quan- 
tities asked  for,  plus  the  quantities  on  hand,  must  not  exceed  those 
specified  in  the  table  for  the  official  population  most  nearly  corre- 
si:>onding  to  that  of  the  post  or  command.  The  quantity  of  each 
article  on  hand,  as  verified  by  a  medical  officer  in  accordance  with 
paragraph  512a,  will  be  stated  and  will  be  deducted  from  the  quantity 
allowed  annualh'  by  the  supply  table  (ignoring  for  the  purpose  of 
this  deduction  fractional  parts  of  bottles  and  packages  on  hand)  to 
ascertain  the  balance  which  may  be  asked  for,  if  needed. 


MANUAL  FOR    MEDICAL  DEPARTMENT,   U.    S.   ARMY.  163 

(h)  Before  forwarding  an  annual  requisition  it  will  be  carefully 
examined  and  compared  with  the  supply  table  to  see  that  it  has 
been  correctl}'  made  out  in  strict  accordance  with  these  regulations 
and  to  avoid  the  delay  that  its  return  for  correction  will  occasion 
if  they  are  not  complied  with. 

479.  The  local  prevalence  or  rarit}^  of  certain  diseases,  as  well  as 
the  quantity  or  number  on  hand  of  each  article,  will  be  considered 
ui  the  preparation  and  approval  of  annual  requisitions. 

480.  The  smaller  posts  will  not  need  all  the  articles  included  in 
the  supply  table.  The  surgeon  is  not  expected  to  require  for  an 
article  merely  because  it  is  listeil.  He  should  call  only  for  what  there 
is  reason  to  think  he  will  need. 

481.  The  department  surgeon  to  whom  an  annual  requisition  is 
forwarded  will  see  whether  it  is  prepared  in  accordance  with  the  above 
regulations.  If  it  is,  he  will  approve  and  forward  one  copy  dhect 
to  the  medical  supply  depot  designated  for  his  territory  by  the  Sur- 
geon General;  if  it  is  not,  he  will  alter  it  to  conform  to  these  regula- 
tions and  then  forward  it  to  the  depot  approved  as  altered.  In 
either  event  he  will  forward  the  second  copy  of  the  requisition,  with 
the  action  taken  by  him  noted  thereon,  direct  to  the  Surgeon  General. 
He  will  retain  the  third  copy  in  the  fdes  of  his  office  and  will  return 
the  fourth  copy  to  the  surgeon  with  his  modifications,  if  any,  noted 
thereon. 

482.  Special  requisitions  for  post  medical  supplies  are  annual, 
quarterly,  or  emergency.  They  will  be  made  on  Form  35,  but  sepa- 
rately from  those  for  field  medical  supplies  and  those  for  dental  sup- 
plies. The  sam.e  number  of  copies  will  be  executed,  and  they  will 
be  forwarded  to  the  department  surgeon  or  to  the  Surgeon  General 
direct,  as  in  the  case  of  annual  requisitions  from  the  same  posts  or 
hospitals.     (See  par.  477a.) 

483.  Except  as  otherwise  provided  in  paragraph  486,  articles  not 
on  the  supply  table  which  will  be  needed  during  the  year  will  be 
called  for  on  the  annual  special  requisition.  It  will  be  forwarded 
with  the  regular  annual  requisition.  The  articles  will  be  listed  m 
alphabetical  order,  and  the  necessity  for  them  will  be  fully  explained 
in  the  column  of  'Remarks."  To  avoid  delav  in  filling  these  requisi- 
tions a  full  description  of  special  articles,  mstruments,  and  appli- 
ances required  for  will  be  given  in  "'Remarks,"  together  with  a  state- 
ment of  their  cost  or  approximate  cost,  as  ascertained  from  dealers' 
catalogues  or  other  reliable  sources  of  information.  When  unusual 
drugs  or  chemical  reagents  are  called  for,  similar  information  as  to 
their  cost  will  be  furnished. 

484.  Except  as  otherwise  provided  in  paragraph  486  and  in  the  foot- 
notes to  the  supply  tables,  articles  on  the  supply  table  of  which  no 
allowance  is  stated,  or  which  are  issued  ''as  required,"  will  be  called 
for  on  the  quarterly  special  requisition. 


164  MANUAL   FOR    MEDICAL    BEPAETMENT,   U.    S.    ARMY. 

(a)  Wlien  supplies  are  exhausted  or  their  exhaustion  is  imminent, 
a  renewal  thereof  may  be  asked  for  on  the  quarterly  special  requisi- 
tions forwarded  during  the  remamder  of  the  year.  These  articles 
should  be  listed  according  to  the  nomenclature,  classification,  and 
alphabetical  arrangement  of  the  supply  table. 

(b)  When  quarterly  special  requisitions  are  necessary  they  will 
ordinarily  be  forwarded  on  or  before  January  1,  April  1,  July  1,  and 
October  1,  for  the  ensuing  throe  months,  respectively.  A  quarterly 
requisition  may,  however,  be  forwarded  at  an}^  time  during  the  quar- 
ter in  which  the  supplies  are  needed. 

(c)  When  under  these  regulations  a  quarterly  special  requisition 
would  be  made  at  the  same  time  as  an  annual  special  it  will  be  con- 
solidated therewith. 

486.  When,  as  a  result  of  the  prevalence  of  an  epidemic  or  for  any 
other  reason,  necessary  supplies  are  likely  to  be  exhausted  before  the 
next  quarterly  special  requisition  is  to  be  made,  they  will  be  called 
for  on  an  emergency  requisition.  Form  35,  forwarded  at  once  upon 
the  development  of  the  deficiency,  with  a  full  explanation  of  the 
emergency  and  its  cause.  In  extreme  cases  telegraphic  application 
should  be  made  dhect  to  the  Surgeon  General,  or  in  the  Philippine 
Department  or  Hawaiian  Department  to  the  department  surgeon,  for 
the  supplies  needed  to  meet  the  emergency,  which  will  be  followed 
by  a  letter  of  explanation.  Surgeons  will  be  held  accountable  for  any 
suffering  which  may  result  from  their  failure  to  require  for  supplies 
w*hen  it  is  evident  the  same  will  be  needed. 

(a)  The  frequent  rendition  of  emergency  post  requisitions  would 
usually  argue  a  want  of  reasonable  foresight  in  requiring  for  supplies, 
or  a  want  of  proper  economy  m  the  use  of  hospital  property,  and 
would  be  a  reproach  to  medical  administration.  If  due  care  in  the 
use  of  hospital  property  is  exercised,  and  the  regulations  herein  made 
for  the  timely  preparation  of  amiual  and  quarterly  requisitions  are 
observed,  it  will  seldom  be  necessary  to  resort  to  the  emergency  or 
telcgTaphic  requisition. 

486.  The  following  special  rules  will  be  observed: 

(a)  Identification  supplies  wiU  be  asked  for  on  quarterly  special 
requisitions.  On  these  requisitions  no  other  items  should  appear,  as 
i(icntificati()n  supplies  are  issued  from  the  New  York  supply  depot 
only. 

(b)  Articles  required  to  replace  unserviceable  i)roperty,  whether 
on  the  supply  table  or  not,  will  be  requhcd  for  on  the  c[uarterly 
special  requisition.  The  exact  number  and  condition  of  the  unserv- 
iceable articles  on  hantl  will  be  expressly  stated  in  "  Remarks." 

(c)  Mineral  oil,  coal,  gas,  and  electric  current,  for  operating  steril- 
izers. X-ray  machines,  and  other  therapeutic  apparatus  will  be 
obtain(>d  on  request  addressed  to  the  Surgeon  General,  or,  in  the 
Phihppiuo  or  Hawaiian  Departments,  to  the  department  surgeon. 


MANUAL  FOR  MEDICAL   DEPARTMENT,   U.    S.    ARMY.  165 

(d)  Supplies  for  a  subpost  or  camp  will,  in  the  absence  of  orders  to 
the  contrary,  be  required  for  quarterly  upon  the  surgeon  of  the  main 
post  or  command,  who  will  issue  them  after  approval  by  the  depart- 
ment surgeon. 

487.  The  department  surgeon  to  whom  a  special  requisition  is 
forwarded  vvill  personally  and  carefully  scrutinize  it  and  make  such 
changes  therein  as  he  may  deem  proper.  He  will  indorse  on  each 
of  three  copies  his  approval  or  recommendation  as  to  the  action  to 
be  taken  and  will  forward  them,  except  as  indicated  in  section  (a) 
hereinafter,  to  the  Surgeon  General.  He  will  retain  the  fom^th  copy 
in  the  files  of  his  office.  One  copy  of  the  requisition  forwarded  to 
the  Sui'geon  General's  Office  will  be  returned  to  the  surgeon,  through 
the  department  surgeon,  with  modifications,  if  any,  noted  thereon. 
In  the  Philippine  and  Hawaiian  Departments  the  department  sur- 
geons are  authorized  to  act  upon  special  requisitions  as  upon  annual 
requisitions. 

(a)  In  the  case  of  a  special  requisition  to  meet  an  emergency  not 
admitting  of  delay  the  department  surgeon  is  authorized  to  approve 
the  same,  forwarding  one  copy,  with  his  approval  indorsed  thereon, 
to  the  medical  supply  depot  designated  for  his  territory,  forwarding 
a  second  copy  to  the  Surgeon  General  with  an  indorsement  stating 
the  circumstances,  retaining  the  third  copy  in  his  files,  and  returning 
the  fourth  copy  to  the  surgeon  with  his  modifications,  if  any,  noted 
thereon;  but  requisitions  for  articles  not  on  the  supply  table  must  in 
all  cases  be  forwarded  to  the  Surgeon  General  for  his  action  (except 
in  the  Pliilippine  and  Hawaiian  Departments,  where  the  department 
surgeons  will  act  upon  them). 

488.  Medical  supply  officers  to  whom  approved  requisitions  for 
supphes  are  referred  by  department  surgeons  conformably  to  these 
regulations  are  authorized  to  issue  the  same  from  stock,  if  on  hand, 
or  to  puixhase  them  for  issue,  if  not  on  hand,  subject,  however,  to 
instructions  given  by  the  Surgeon  General  respecting  the  allotment 
and  expenditure  of  public  funds  available  for  purchases. 

FIELD   MEDICAL    SLTPLIES. 

(For  provisions  respcetiag  requisitions  from  organizations  in  the  field,  see  pars.  551  to  533.) 

489.  Requisitions  to  replenish  field  medical  supphes  or  to  replace 
unserviceable  field  equipment  at  permanent  posts  will  be  executed 
ill  triplicate,  on  Form  35,  and  will  be  forwarded  to  the  department 
surgeon,  or,  in  the  case  of  an  independent  post  or  station,  direct  to 
the  Surgeon  General. 

(a)  The  department  surgeon  who  receives  a  requisition  in  triplicate 
for  field  medical  supphes  in  conformity  ^\dth  this  regulation  wiU 
promptly   forward   the   same,   with  his  recommendations   indorsed 


166  MANUAL    FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

on  each  copy,  to  the  Suro:('Oii  General.  In  the  Philippine  and  Ha- 
waiian Departments  the  department  surgeons  are  authorized  to  act 
upon  them  as  upon  requisitions  for  post  supplies.  One  copy  of  the 
requisition  will  be  returned  to  the  surgeon  with  modifications,  if  any, 
noted  thereon.  / 

490.  Requisitions  from  permanent  posts  for  field  medical  supplies 
should  be  unnecessary  except  immediately  following  active  military 
operations  or  as  the  result  of  changes  in  the  supply  tables. 

DENTAL    SUPPLIES. 

491.  Articles  of  post  medical  supplies  needed  by  the  dental  sur- 
geon will  be  issued  by  the  surgeon,  as  to  his  other  assistants,  from 
time  to  time  in  such  cjuan titles  as  are  needed  for  the  work  at  the  post. 
Tlie  surgeon  is  charged  with  the  responsi})ility  of  keeping  on  hand 
the  articles  indicated  in  the  supply  tables  as  used  by  dental  surgeons. 

492.  Requisitions  for  other  dental  supplies,  annual  and  special, 
will  be  executed  in  triplicate  by  the  dentist,  who  will  forward  them 
through  the  surgeon  to  the  department  surgeon,  or,  in  the  case  of 
independent  posts  or  commands,  to  the  Surgeon  General.  The 
department  surgeon  will  promptly  transmit  them,  v/ith  his  recom- 
mendations indorsed  on  each  copy,  to  the  Surgeon  General.  In  the 
Philippine  and  Hawaiian  Departments  the  department  surgeons  are 
authorized  to  act  upon  them  as  upon  requisitions  for  post  supplies. 
One  copy  of  the  requisition  will  be  returned  to  the  dentist  with  modi- 
fications, if  any,  noted  thereon. 

493.  Annual  requisitions  will  be  made  on  Form  36  for  the  year 
beginning  January  1  (unless  some  other  date  is  designated  by  the 
Surgeon  General)  and  will  be  forwarded  not  less  than  20  days  before 
that  date. 

(a)  Articles  of  which  a  definite  allowance  is  fixed  on  the  dental 
supply  table  will  be  required  for  on  the  annual  requisition,  except  as 
otherwise  provided  in  paragraph  491.  Annual  dental  requisitions 
will  be  subject  to  the  regulations  in  paragraph  478  governing  the 
preparation  of  annual  post  requisitions,  so  far  as  the  same  are 
applicable. 

494.  Articles  on  the  dental  supply  table  for  which  no  allowance  is 
specified  or  which  are  issued  "as  required,"  will  be  required  for  on 
quarterly  special  requisitions,  Form  35,  except  as  otherwise  provided 
in  paragraph  491,  for  the  quarters  beginning  January  1,  April  1,  July  1, 
and  October  1. 

(ft)  Articles  not  on  the  dental  supply  table,  ^Wlich  are  absolutely 
necessary  for  dental  work  soon  in  prospect,  will  also  l)e  called  for  on 
the  quarterly  special  requisition,  with  a  full  expl.-i nation  of  their 
necessity. 


MAXUAL   FOR    MEDICAL   DEPARTMENT^    U.    S.    ARMY.  167 

(b)  Tcxtl)ooks  oil  dental  subjects  will  ])c  asked  for  on  quarterly 
special  requisitions. 

495.  In  emergencies,  when  dental  instruments,  appliances,  or  sup- 
plies not  on  hand,  or  to  replace  similar  articles  which  have  become 
unserviceable,  will  be  needed  before  the  next  quarterly  special  requisi- 
tion, they  may  be  required  for  on  an  emergency  special  requisition, 
to  be  forwarded  at  once  upon  the  development  of  the  emergency, 
with  a  full  explanation  of  its  character  and  cause. 

TRANSFER   OF   MEDICAL   SUPPLIES. 

(See  pars.  -l9and22S.) 

496.  In  ordinary  transfers  of  medical  supplies  the  transferring 
officer  will  at  once  forward  invoices  (Forms  23,  24,  28,  or  31)  in 
duplicate,  one  to  the  Surgeon  General  direct  and  one  to  the  receiving 
officer.  The  latter  mil  promptly  upon  completion  of  the  transfer 
forward  receipts  (Forms  23,  24,  28,  or  31)  in  duplicate,  one  to  the 
Surgeon  General^and  the  other  to  the  transfen-ing  officer.  A  packer's 
list  (Form  32)  will,  if  necessary,  be  furnished  by  the  transferring 
officer. 

(a)  AU  supplies  shipped  will  bear  the  name  of  the  consignor  as  well 
as  that  of  the  consignee. 

497.  In  cases  in  which  complete  transfer  of  medical  property  occurs, 
the  receiving  officer,  instead  of  giving  separate  receipts,  as  provided 
m  paragi-aph  496,  will  receipt  for  the  property  transferred  on  the 
final  return,  both  original  and  duplicate  (Form  17c),  of  his  predeces- 
sor. The  transferring  officer  will  at  once  forward  the  original  return, 
bearing  the  receipt  above  prescribed,  to  the  Surgeon  General.  The 
duplicate  return  will  be  filed  with  the  retained  records  of  the  hospital. 
(See  Appendix:  Records  and  Corres-pondence.) 

498.  Great  care  should  be  exercised  before  receipting  for  cases  of 
mstruments,  microscopes,  and  other  property  of  similar  character  not 
enumerated  on  the  property  papers  in  detail,  to  ascertain  that  the  full 
contents  of  such  cases  are  present  and  in  good  order.     Incomplete 

.cases  will  be  receipted  for  as  such  and  a  list  of  the  missing  articles  will 
accompany  the  receipt,  in  order  that  the  proper  officer  may  be  held 
accountable  for  the  deficienc}^  Eeceipts  without  remark  for  cases 
of  instruments  and  similar  property  will  be  considered  as  evidence 
that  they  are  complete  and  in  accordance  with  the  lists  of  contents 
marked  in  the  cases  or  as  given  in  the  supply  table,  and  the  receiving 
officer  will  be  held  responsible  in  accordance  therewith. 

499.  Tlie  transfeiring  officer  will  enter  on  his  invoices,  and  the 
receiving  officer  on  his  receipts,  the  condition  of  all  articles  not 
serviceable. 

500.  Medical  officers  will  report  to  the  Surgeon  General  and  to  the 
transferring  officer  all  defects  observed  in  the  quality,  quantity,  or 
packuig  of  medical  sujjplies. 


168  MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY. 

ACCOUNTABILITY. 

601.  Medical  officers  will  take  up  and  account  for  all  medical  prop- 
erty of  the  Army  which  comes  into  their  possession.  If  it  is  property 
with  which  they  have  not  been  formall}"  charged  (as,  e.  g.,  property 
found  at  post)  they  will  report  if  possible  to  whose  account  it  is  to  be 
credited.     (See,  however,  par.  5046.) 

(a)  Members  of  the  Dental  Corps  v/ill  follow  a  similar  course  regard- 
ing dental  property  coming  into  their  possQssion,  except  supplies 
issued  under  paragraph  491. 

502.  No  medical  property  will  be  accounted  for  as  on  hand  at  the 
end  of  the  accounting  period  unless  the  same  is  then  in  fact  on  hand. 
Medical  property  expended,  lost,  or  destroyed  must  be  dropped 
accordingly,  and  credit  therefor  claimed  by  certificate  or  affidavit  as 
required  by  Army  Regulations.  If  the  evidence  is  considered  satis- 
factory by  the  Surgeon  General  the  credit  will  be  allowed  as  claimed ; 
if  not  satisfactory,  the  accountable  officer  will  be  required  to  refund 
the  value  of  the  property.     (See  par.  230.) 

503.  In  invoicing  or  accounting  for  broken  packages,  such  as 
bottles,  jars,  etc.,  fractions  will  be  given  as  one-fourth,  one-half, 
three-fourths. 

DISTRIBUTION   OF  FIELD   MEDICAL   SUPPLIES   IN   TIME 

OF  PEACE. 

504.  Surgeons  on  duty  with  line  organizations  are  charged  with  the 
responsibility  of  keeping  on  hand  in  time  of  peace  the  field  medical 
supplies  mentioned  m  paragraph  632.  These  supplies  will  be  so 
distributed  that  in  case  of  mobilization  the  various  organizations  will 
arrive  at  their  concentration  camps  completely  equipped,  but  with- 
out medical  supplies  m  excess  of  the  prescribed  allowances.  For 
example:  If  a  regiment  is  divided  between  two  stations  the  camp 
infii-mary  may  be  assigned  where  the  larger  proportion  of  the  regi- 
ment is  stationed  and  the  combat  equipm^ent  to  the  station  of  the 
other  units.  If  a  regiment  is  divided  between  three  or  more  stations 
the  camp  infirmary  may  be  assigned  to  one  station,  and  the  combat 
equipment  to  another,  while  the  units  at  each  of  the  other  stations 
may  be  supplied  with  an  extra  medical  and  surgical  chest  (par.  932). 
The  additional  articles  for  the  establishment  of  a  regimental  hospital 
should  be  kept  at  the  same  station  as  the  camp  infirmary,  as  they 
are  supplementarj-  to  the  latter  and  of  little  value  by  themselves. 

(a)  If  the  supplies  thus  provided  for  detached  battalions  or  com- 
panies prove  insufficient  for  the  requu'cmcnts  of  practice  marches 
and  other  field  exercises  engaged  in  during  peace  they  may  be  sup- 
plemented b}'-  equipment  improvised  from  post  supplies,  but  requisi- 
tions for  field  supplies  in  excess  of  these  provisions  should  not  be 
necessary  J 


MANUAL    FOR    MEDICAL   DEPAETMEXT,    U.    S.    ARMY.  169 

(b)  In  order  to  cany  out  the  provisions  of  this  paragraph,  surgeons 
of  tletached  battalions  or  companies  will  be  required  to  hold  the 
supplies  (except  individual  equipments)  pertaining  to  the  combat 
equipment  and  camp  infirmary  on  memorandum  receipt  from  the 
surgeon  at  regimental  headquarters. 

605.  "\^Tien  the  battalions  or  companies  of  an  organization  are  sta- 
tioned in  different  departments  but  belong  to  the  same  tactical 
division  the  distribution  of  the  field  medical  equipment  of  the  organi- 
zation will  be  decided  by  the  War  Department  upon  the  recommen- 
dation of  the  department  commander  in  vrhose  department  the 
headquarters  of  the  organization  is  stationed. 

506.  In  the  event  of  mobihzation,  organizations  AviU  take  with  them 
to  the  concentration  camp  the  combat  equipment  and  the  camp  infir- 
mary only  unless  othei-wise  specifically  directed  hj  the  department 
commander,  except  that  the  extra  medical  and  surgical  chests  pro- 
vided for  detached  battalions  or  companies  may  be  taken  if  required 
for  use  en  route.  In  the  latter  case  such  additional  supphes  will  be 
turned  in  to  the  depot  when  the  organization  has  joined  its  division. 
(See  par.  3651.) 

RETURNS   OF   MEDICAL  PROPERTY^ 

(See  par.  3806.) 

607.  Officers  in  charge  of  medical  property  will  on  being  reheved 
of  the  same  prepare  a  return  thereof  in  duplicate  (Forms  17,  17a, 
171),  and  17c'),  showing  aU  articles  received,  expended,  sold,  trans- 
ferred, etc.,  during  its  period.  The  original  of  this  return  will  be 
promptly  transmitted  to  the  Surgeon  General.  The  duphcate,  with 
a  com.plete  set  of  vouchers,  will  be  filed  with  the  retained  records  of 
the  hospital.     (See  Appendix.:  Records  and  Correspondence.) 

(a)  Returns  of  property  issued  for  personal  use,  including  the 
portable  dental  outfit,  will  be  rendered  at  the  end  of  each  calendar 
year. 

(6)  Returns  of  field  supphes  wiU  be  made  separately  from  returns 
of  post  suppheSo     (See,  however,  par.  5046.) 

508.  Returns  of  dental  property  wdl  be  made  by  the  dentist 
having  custody  thereof. 

SALES. 

508.  When  medical  property  is  sold  the  officer  responsible  therefor 
v.ill  pay  the  necessar}^  authorized  expenses  of  the  sale,  if  any,  out  of 
the  proceeds,  taking  proper  vouchers  for  such  payments,  and  "^tH 
deposit  the  balance  or  net  proceeds,  without  delay,  and  if  possible 
on  or  before  the  last  day  of  the  month  during  which  he  receives  the 
proceeds,  with  the  nearest  United  States  depositary,  to  the  credit  of 
the  Treasui-er  of  the  United  States.     Immediately  upon  making  the 


170  MANUAL   FOE    MEDICAL   DEPARTMENT^   U.    S.   ARMY. 

deposit  lie  will  iiotif}"  the  Surgeon  General  by  letter  direct  of  liis 
action,  giving  the  date  or  dates  of  the  sale  and  the  amount  of  the 
proceeds  of  the  articles  sold  on  each  date. 

(a)  Within  10  days  after  the  end  of  the  month  during  which  he 
receives  the  proceeds  of  the  sales  he  will  render  to  the  Surgeon 
General  direct  an  account  current  (Form  320&  or  Form  320,  W.  D.) 
debiting  himself  thereon  under  the  proper  heading  with  the  net  pro- 
ceeds of  the  sales  and  crediting  himself  with  the  amount  deposited. 
He  will  insert  the  proper  heading,  that  is,  the  designation  of  the 
proper  fund  to  which  the  proceeds  go  (see  par.  510)  in  one  of  the  blank 
spaces  provided  therefor  at  the  top  of  the  ruled  columns.  He  will 
forward  with  his  account  an  exhibit  in  duplicate  of  the  articles  sold, 
as  follows : 

First.  In  the  case  of  a  sale  of  condemned  property  at  auction  or 
on  sealed  proposals,  if  there  Avere  any  expenses  attending  the  same, 
the  exhibit  w4ii  be  made  out  on  Form  325,  W.  D.,  and  be  accompanied 
by  the  vouchers  for  the  expenses  of  sale;  if  there  were  no  expenses, 
the  exhibit  will  be  made  out  either  on  Form  325  or  on  Form  322, 
W.  D.,  as  the  accountable  officer  may  prefer;  in  either  event,  the 
exhibit  will  be  accompanied  by  a  copy  of  or  a  suitable  extract  from 
the  inventory  and  inspection  report. 

Second.  In  the  case  of  sales  of  medicines  to  civilians  under  para- 
graphs 242  to  244  of  this  Manual  the  exhibit  will  be  made  out  on 
Form  322g,,  W.  D. 

Third.  In  the  case  of  other  authorized  sales  the  exhibit  v^  ill  be  made 
out  on  Form  322,  W.  D. 

(b)  A  duplicate  of  the  account  and  a  triplicate  of  the  exhibit 
should  be  retained  by  the  officer. 

610.  The  proceeds  of  authorized  sales  of  serviceable  medical 
property  accrue  to  the  special  fund  ''Replacing  medical  supplies" 
for  the  proper  tvro-year  period,  thus:  The  proceeds  of  sales  made 
during  the  fiscal  year  1916  pertain  to  the  fund  "Replacing  medical 
supplies,  1916-17";  the  proceeds  of  sales  made  during  the  fiscal 
year  1917,  to  the  fund  "Replacing  medical  supplies,  1917-18,"  and 
so  on  from  year  to  year.  The  accountable  officer  should  render  his 
accounts  accordingly,  carefully  noting  that  it  is  the  date  of  sale  that 
determines  the  fund  to  be  creditied  and  not  the  date  of  collecting 
the  proceeds,  which  is  immaterial  in  this  cormection;  otherwise 
embarrassment  in  the  adjustment  of  his  accounts  will  follow. 

(«)  The  proceeds  of  sales  of  condemned  property  accrue  to  ""Mis- 
cellaneous receipts,"  and  shouhl  be  so  designated. 


MANUAL    FOR    MEDICAL    DEPAETMENT,    U.    S.    ARMY.  171 

DISPOSITION    OF    MEDICAL    PROPERTY    ON    ABANDON- 
MENT  OF  POSTS. 

511.  Unless  modified  bv  special  instructions  from  the  Surgeon 
General,,  the  following  rules  will  be  observed  in  the  disposition  of 
medical  property  upon  the  abandonment  of  a  post: 

(a)  UnserTiceable  property  "'Anil  be  submitted  to  an  inspector,  with 
a  view  to  final  disposition  by  sale  or  destruction. 

(b)  A  list  of  all  other  articles  will  be  forwarded  to  the  department 
surgeon,  or,  in  the  case  of  an  independent  post,  to  the  Surgeon  Gen- 
eral, for  decision  as  to  where  they  shall  be  sent. 

(c)  Only  such  nonexpendable  articles  as  are  in  perfect  order, 
including  recent  medical  works,  and  instruments  which  can  not  be 
transferred  to  other  posts  without  unnecessary  dupUcation.  should 
be  turned  in  to  a  medical  supply  depot. 

USE  AND  CARE  OF  MEDICAL  PROPERTY. 

612.  OfHcers  will  be  held  responsible  for  the  serviceable  and  com- 
plete condition  of  all  property  in  their  possession,  except  such  as  may 
have  been  rendered  unserviceable  by  fair  wear  and  tear. 

(a)  The  responsible  officer  will  once  each  year  cause  all  medical 
property  in  his  charge  to  be  carefully  examined  by  a  commissioned 
medical  ofPicer  and  verified  by  the  returns,  invoices,  etc. 

513.  With  the  permission  of  the  surgeon,  medical  officers  may  take 
books  and  instruments  from  the  hospital  for  professional  use :  but  no 
medical  property  of  any  description  will  be  taken  away  from  a  post 
by  an  officer  on  being  relieved  or  when  availing  himself  of  a  leave  of 
absence,  except  by  authority  of  the  Surgeon  General,  or,  -s^athin  the 
limits  of  the  Philippine  or  Hawaiian  Departments,  by  authority  of 
the  department  surgeon. 

514.  The  stock  of  alcohol,  alcohoHc  liquors,  opium,  and  the  salts, 
derivatives,  and  preparations  of  opium  or  coca  leaves  will  be  kept 
in  a  locked  closet  in  the  storeroom  and  only  issued  to  the  dispensary 
in  unit  containers  from  time  to  time  as  may  be  necessary,  upon  the 
written  order  of  a  medical  officer. 

(a)  In  the  storeroom,  receipts  and  expenditures  of  th  se  articles 
will  be  accounted  for  in  the  manner  prescribed  for  the  dispensary 
(par.  240). 

615.  Field  suppfies  and  equipment  will  not  be  used  at  posts,  except 
when  required  for  purposes  of  instruction. 

616.  Field  chests  and  appliances  will  be  frequently  inspected  and 
kept  in  perfect  order  for  immediate  field  use. 

517.  The  exchange  of  medicines  with  druggists  is  prohibited 

618.  The  issue  of  articles  for  use  in  the  preparation  of  cleaning 

mixtures,  cosmetics,  or  perfumery,  or  for  use  with  spirit  lamps,  etc., 

is  prohibited. 


172  MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY. 

'-  619.  The  responsible  ofBcer  will  cause  all  instruments  in  liis  charge 
to  be  examined  b}"  a  commissioned  medical  officer  at  least  once  each 
month. 

520.  Steel  and  plated  instruments  may  be  prevented  from  rusting 
by  keeping  them  in  a  20  per  cent  formalin  solution  saturated  with 
borax. 

521.  Sm'gical  instruments  and  appliances  that  require  and  are  con- 
sidered worth  repairing  will  be  reported  through  the  department 
surgeon  to  the  Surgeon  General,  or,  in  the  Philippine  or  Hawaiian 
Departments,  to  the  department  surgeon,  with  a  statement  of  the 
repairs  needed,  giving  the  name  of  the  maker  of  each  article. 

522.  The  responsible  officer  will  also  report  to  the  Sm'geon  General, 
or,  in  the  Philippine  or  Hawaiian  Departments,  to  the  department 
surgeon,  such  articles  of  bedding  or  fm'niture  as  may  need  and  are 
considered  worth  repair  or  renovation.  The  work  should  be  done  by 
post  labor  if  practicable,  request  being  made  for  authority  to  purchase 
necessary  material.  If  this  is  not  practicable,  the  officer  will  obtain 
one  or  more  estimates  in  detail  of  the  cost  of  repair  or  renovation 
of  such  bedding  or  furniture  and  forward  tliem  v/ith  his  report. 

523.  Blankets  not  in  use  should  be  frequently  examined  and  prop- 
erly protected.  When  stained  but  otherwise  in  good  condition  they 
should  be  continued  in  service.  Hospital  bedding  will  not  be  used  by 
members  of  the  Hospital  Corps  except  vv'hen  on  duty  in  the  wards. 

524.  When  a  typewriter  is  to  be  transported  the  ribbon  spools 
should  be  removed  and  packed  separately,  the  carriage  of  the  machine 
securely  tied  to  the  base  in  such  a  manner  that  it  can  not  move  in 
any  direction,  and  the  steel  rods  or  blocks  for  locking  the  carriage 
placed  in  position.  Medical  officers  will  be  held  repsonsible  for  dam- 
ages to  typewriters  Vvhich  result  from  careless  packing. 

625.  Rubber  and  flexible  catheters  and  bougies  will  be  kept  in  talc 
or  glycerin  to  preserve  them. 

526.  When  the  canvas  in  litters  becomes  soiled  it  will  be  removed 
from  the  litters,  washed,  and  replaced.  Wlien  it  becomes  torn  or 
unserviceable,  new  canvas  of  the  proper  size  should  be  applied  for  to 
replace  it. 

METEOROLOGICAL  INSTRUMENTS. 

627.  Meteorological  observations  will  be  taken  at  such  posts  as 
may  be  designated  by  the  Surgeon  General,  to  whom  a  report  will  be 
rendered  promptly  at  the  end  of  each  month  on  the  form  furnished 
by  the  dii-ector  of  the  State  section  of  the  Weather  Bm-eau  and 
through  the  office  of  the  said  director.  Such  meteorological  instru- 
ments as  are  required  for  use  at  designated  posts  will  be  obtained 
})y  application  to  the  State  section  director;  and  v/hen  any  of  these 
instruments  become  broken  or  unserviceable  the  request  for  now 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U,    S.    ARMY.  173 

ones  will  state  the  circumstances  attending  the  breakage,  and,  if  a 
thermometer,  the  parts  of  the  instrument  will  be  returned  by  mail, 
to  the  office  of  the  State  director.  Receipts  for  these  instruments 
will  be  made  out  by  the  surgeon  on  forms  transmitted  with  the 
instrimients.  When  relieved  from  duty  at  a  station,  the  surgeon 
will  notify  the  State  officer,  in  order  that  the  responsibility  for  the 
property  may  be  properly  transferred.  Meteorological  instruments 
heretofore  issued  by  the  Medical  Department  will  be  borne  upon  the 
returns  of  medical  property  imtil  broken  or  worn  out,  but  articles 
furnished  by  the  Weather  Bureau  will  not  be  taken  up  on  these 
I'eturns. 


PART  II. 

THE  SANITARY  SERVICE  IN  WAR, 


175 


A^KTICLE  X.— THE   SANITARY   SERVICE  IN   WAR, 

GENERAL. 


ADMINISTRATIVE  ZONES. 

628.  In  time  of  war  the  activities  of  the  militar}''  establishment 
embrace: 

(1)  The  service  of  the  interior. 

(2)  The  servdce  of  the  theater  of  operations. 

629.  The  service  of  the  interior  is- carried  on  by: 

(1)  Department  commanders. 

(2)  Bureau  chiefs,  having  for  this  purpose  general  depots  of  supply, 
general  hospitals,  arsenals,  etc. 

(a)  The  servdce  of  the  theater  of  operations  is  carried  on  by  the 
commander  of  the  field  forces.  The  theater  of  operations  is  divided 
into  two  zones: 

(1)  The  zone  of  the  hne  of  com^munications. 

(2)  The  zone  of  the  advance. 

(b)  The  service  of  the  interior  functions  both  in  peace  and  in  war; 
that  of  the  theater  of  operations  in  war  only. 

OBJECTS      OF      MEDICAL      DEPARTMENT      ADMINISTRA- 
TION. 

630.  The  objects  of  Medical  Department  administration  in  war  are: 
(a)  The  preservation  of  the  strength  of  the  Army  in  the  field  by 

(1)  the  necessary  sanitary  measures;  (2)  the  retention  of  effectives  at 
the  front,  and  the  movement  of  noneffectives  to  the  rear  without 
obstructing  military  operations;  and  (3)  the  prompt  succor  of 
wounded  on  the  battle  field  and  their  removal  to  the  rear,  thus  pre- 
venting the  unnecessary  withdrawal  of  combatants  from  the  firing 
line  to  accompany  the  wounded,  and  promoting  the  general  morale 
of  the  troops. 

(u)  The  care  and  treatment  of  the  sick  and  injured  in  the  zone  of 
the  advance,  on  the  line  of  communications,  and  in  home  territory. 

DUTIES  OF  THE  MEDICAL  DEPARTMENT. 

631.  The  Medical  Department  is  charged  v;ith  the  administration 
of  the  sanitary  service.     Specifically,  its  duties  are: 

(a)  The  initiation  of  sanitary  measures  to  insure  the  health  of  the 
troops. 

70156'— IS 12  177   . 


178  MANUAL   FOR   MEDICAL   DEPARTMEISTT,   U.    S.    ARMY. 

(b)  The  direction  and  execution  of  all  measures  of  public  health 
among  the  inhabitants  of  occupied  territory. 

(c)  The  care  of  the  sick  and  wounded  on  the  march,  in  camp,  on 
the  battle  field,  and  after  removal  therefrom. 

(d)  The  methodical  disposition  of  the  sick  and  wounded. 

(e)  The  transportation  of  the  sick  and  wounded. 

(/)  The  estabhshment  of  hospitals  and  other  formations  necessary 
for  the  care  of  the  sick  and  wounded. 

ig)  The  supply  of  sanitary  materiel  necessar}^  for  the  health  of 
troops  and  for  the  care  of  the  sick  and  wounded. 

(h)  The  preparation  and  preservation  of  individual  records  of  sick- 
ness and  injury,  in  order  that  claims  may  be  adjudicated  with  justice 
to  the  Government  and  to  the  individual. 

PERSONNEL  OF  THE   SANITARY  SERVICE. 

GENERAL   ENUIMERATION. 

632.  In  time  of  war  the  sanitary  service  includes: 

(1)  All  persons  serving  in  or  employed  by  the  Medical  Department, 
including  officers  and  men  temporarily  or  permanently  detailed 
therein. 

(2)  Members  of  the  American  National  Red  Cross  assigned  to  duty 
with  the  Medical  Department  by  competent  authorit3^ 

(3)  Individuals  whose  voluntary  service  with  the  Medical  Depart- 
ment is  duly  authorized. 

(a)  The  personnel  of  the  Medical  Department  and  aU  other  pei-sons 
assigned  to  duty  with  that  department  are  collectively  called  sani- 
tary troops, 

533.  The  following  persons  serve  in  or  are  employed  by  the  Medical 
Department: 

(1)  Medical  officers  of  the  Regular  Army  (including  officers  of  the 
Medical  Reserve  Corps),  of  the  Organized  Militia  called  into  the  service 
of  the  United  States,  and  of  the  Volunteer  Army. 

(2)  Physicians  under  contract. 

(3)  Members  of  the  Dental  Corps. ' 

(4)  Members  of  the  Hospital  Corps. 

(5)  Members  of  the  Nurse  Corps. 

(6)  Officers  and  soldiers  of  the  line  or  staff  detailed  for  duty  with 
the  Medical  Department. 

(7)  Civilians  employed  by  the  Medical  Department. 

TITLES   OF  MEDICAL  OFFICERS. 

534.  The  title  of  the  senior  medical  officer  on  the  staff  of  the  com- 
mander of  a  field  army  is  "chief  surgeon";  of  a  line  of  commmiica- 
tions,  "surgeon,  base  group";  of  a  division,  "division  surgeon";  of  a 
brigade  operating  independently,  "brigade  surgeon";  of  a  detach- 


MANUAL  FOR   MEMCAL  DEPARTMENT,   U.    S,    ARMY.  179 

ment,  regiment,  or  smaller  command,  "the  surgeon";  of  a  field  hos- 
pital or  other  sanitary  formation,  and  of  an  ambulance  company  or 
detachment  thereof,  "commanding  officer." 

ORGANIZED   VOLUNTARY  AID. 

535.  Organized  voluntar^^  aid  may  be  utilized  to  supplement  the 
resources  and  assist  the  personnel  of  the  Medical  Department  through 
the  American  National  Red  Cross  under  the  authority  of  the  act  of 
Congress  approved  April  24,  19f  2  (37Stats.,  90).  This  organization, 
in  accordance  wjth  the  terms  of  its  charter  (act  Jan.  5,  1905,  33  Stats., 
600),  is  "a  medium  of  communication  between  the  people  of  the 
United  States  and  their  Army."  No  vokmteer  aid  from  any  society 
or  association  will,  therefore,  be  accepted  for  the  Army  of  the  United 
States  except  through  the  American  National  Red  Cross. 

536.  Tlie  following  regulations,  approved  by  the  President  of  the 
United  States,  govern  the  status,  organization,  and  operations  of  tliis 
society  when  employed  with  the  Army : 

(a)  The  organized  Red  Cross  units  serving  with  the  land  forces 
will  constitute  a  part  of  the  sanitary  service  of  the  land  forces. 

(h)  Wlien  the  War  Department  desires  the  use  of  the  services  of 
the  Red  Cross  in  time  of  war,  or  when  war  is  imminent,  the  Secretary 
of  War  will  communicate  with  the  president  of  the  society,  specifying 
the  character  of  the  services  required  and  designating  the  place  or 
places  where  the  personnel  and  materiel  will  be  assembled. 

(c)  When  any  member  of  the  Red  Cross  reports  for  duty  with  the 
land  forces  of  the  United  States,  pursuant  to  a  proper  call,  he  will 
thereafter  be  subject  to  military  laws  and  regulations  as  provided  in 
article  10  of  the  International  Red  Cross  Convention  of  1906,  and  will 
be  provided  with  the  necessary  brassard  and  certificate  of  identity. 

(d)  Except  in  cases  of  great  emergency.  Red  Cross  personnel  serv- 
ing with  the  land  forces  will  not  be  assigned  to  duty  at  the  front,  but 
will  be  employed  in  hospitals  in  the  service  of  the  interior,  at  the  base, 
on  hospital  ships,  and  along  lines  of  communications  of  the  military 
forces  of  the  United  States. 

(e)  Red  Cross  organizations  will  not  establish  independent  hos- 
pitals or  other  institutions,  but  will  assist  military  sanitary  forma- 
tions at  the  places  above  indicated. 

(/)  Before  military  patients  are  assigned  thereto,  separate  estab- 
lishments maintained  by  the  Red  Cross  Society  will  be  placed  under 
the  immediate  direction  of  a  medical  officer  of  the  Ai'my.  Such 
officer  will  be  held  responsible  for  the  management,  discipline,  and 
records  of  the  institution;  he  will  regulate  admissions  and  discharges 
and  see  that  the  interests  of  both  the  Government  and  the  patients 
are  conserved. 


180  MANUAL   FOR   MEDICAL    DEPAKTMENT,    U.    S.    ARMY. 

{(j)  No  columns,  sections,  or  individuals  of  the  Red  Cross  Society 
will  be  accepted  for  service  by  the  War  Department  unless  previously 
inspected  by  a  medical  officer  of  the  Army  and  found  qualified  for 
the  service  expected  of  them. 

{li)  The  Red  Cross  Society  may  be  called  upon  in  time  of  vcar,  or 
when  war  is  impending,  for  the  following  classes  of  personnel: 

(1)  Physicians  and  surgeons. 

(2)  Dentists. 

(3)  Pharmacists. 

(4)  Nurses.  ♦  ' 

(5)  Clerks. 

(6)  Cooks  and  other  hospital  personnel. 

(7)  Litter  bearers,  drivers,  and  other  transport  personnel. 

(8)  Laborers. 

{%)  To  facilitate  the  training  of  Red  Cross  personnel  for  the  duties 
it  may  be  called  upon  to  perform  in  time  of  war,  it  is  divided  into 
three  classes: 

Class  A.  Those  willing  to  serve  v/herever  needed. 

Class  B.  Those  willing  to  serve  in  the  Service  of  the  interior  onl}^ 

Class  C.  Those  willing  to  serve  at  place  of  residence  only. 

Class  A.  will  be  organized  into  sections  and  columns,  uniformed  and 
equipped  as  may  be  prescribed  by  the  central  committee  of  the  Red 
Cross  and  approved  by  the  War  Department.  Such  organized  and 
equipped  sections  and  columns  v/ill  be  trained  for  service  at  the  bases 
and  along  the  lines  of  communication  of  the  forces  in  the  field. 

Class  B  will  be  trained  for  service  in  hospitals  and  other  sanitary 
institutions  that  may  be  established  in  the  service  of  the  interior. 
Individuals  of  this  class  m.ay  also  be  organized  into  sections  and 
columns  and  uniformed  and  equipped  as  prescribed  for  class  A. 

Class  C  will  be  composed  of  individuals  of  local  Red  Cross  Societies, 
who,  on  account  of  their  occupation  or  experience  in  the  care  of  sick 
and  other  hospital  duties,  ma}"  be  expected  to  render  efficient  service 
in  military  sanitary  institutions  established  in  their  locality. 

{■'])  The  Red  Cross  service  at  the  base,  along  the  line  of  comnnmica- 
tions,  or  m  a  military  district  will  be  under  the  supervision  of  a 
director  general,  who  will  conduct  the  service  under  the  diixjction  of 
the  chief  surgeon  of  the  field  army  or  expeditionary  force. 

(7^)  For  service  at  the  base  and  along  fines  of  communications  Red 
Cross  personnel  will  be  organized  into — 
Field  columns. 
Hospital  colamns. 
Supply  columns. 
Information  bureau  sections. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY.  181 

(Z)  Field  columns  will  supplement  and  assist  the  regular  transport 
in  the  transportation  of  patients  from  field  hospitals  to  evacuation 
and  base  hospitals,  by  the  use  of  litters,  ambulances,  hospital  trains, 
trains  for  patients,  hospital  ships,  and  ships  for  patients;  by  the 
establishment  of  rest  and  food  stations,  and  by  the  performance  of 
such  other  duties  as  they  may  be  called  upon  to  perform. 
Field  columns  will  be  organized  as  follows: 

1  director. 

4  assistant  directors. 

4  section  chiefs. 

16  assistant  section  chiefs. 

64  men. 
L  field  column  will  be  composed  of  four  sections,  each  consisting  of — • 

1  assistant  director. 

1  section  chief. 

4  assistant  section  chiefs. 

16  men. 
In  addition  to  the  above,  each  director  of  a  column  will  have  a 
staff  of  two  section  chiefs  to  keep  the  records  raid  conduct  the  supply 
service  of  the  column. 

Directors  and  assistant  directors  must  be  qualified  physicians  in 
good  standing. 

The  training  of  field  columns  should  include  instruction  in  first 
aid,  elementary  hygiene,  and  Hospital  Corps  drill.  The  personnel  of 
such  columns  should  be  made  practically  familiar  with  the  use  of  the 
various  appliances  (including  improvisations)  for  transporting  sick 
and  w^ounded,  such  as  litters,  ambulances,  and  other  vehicles,  with 
the  fitting,  up  of  trains  and  ships  for  patients,  and  with  other  simi- 
lar duties.  Instruction  should  also  be  given  in  the  organization  and 
conduct  of  rest  and  food  stations.  Some  personnel  of  each  column 
should  also  be  m^ade  proficient  in  methods  of  disinfection. 

(m)  Hospital  columns  must  be  prepared  to  supplement  and  assist 
military  hospital  formations,  to  perform  the  necessary  ward  service, 
and  to  take  up  certain  branches  of  hospital  work,  such  as  laundering 
and  repair  of  linen,  the  management  of  kitchens,  etc.  Sections  of 
hospital  columns  may  also  be  assigned  to  duty  on  hospital  trains 
and  ships,  and  to  other  military  sanitary  institutions. 

Hospital  columns  for  service  at  the  base  and  along  the  line  of  com- 
munications will  be  organized  as  follows: 

1  director. 

3  assistant  directors. 

6  chief  nurses. 

45  nurses. 

Such  number  of  cooks,  ward  orderlies,  and  laborers  as  may  be 
necessary. 


182  MANUAL  FOR    MEDICAL   DEPAETMEKT,   U.   S.   ARMY. 

The  hospital  column  will  be  composed  of  three  sections,  each  con- 
sisting of — 

1  assistant  director. 

2  chief  nurses. 
15  nurses. 

Such  number  of  cooks,  ward  orderlies,  and  laborers  as  may  be 
necessary. 

In  addition  to  the  above,  each  director  of  a  column  will  have  a 
staff  of  two  section  chiefs  to  keep  the  records  and  conduct  the  supply 
service  of  the  column,  and  such  number  of  staff  physicians  as  may 
be  deemed  expedient. 

Directors,  assistant  directors,  and  staff  physicians  must  be  qualified 
practitioners  of  medicine  in  good  standing. 

The  staff  of  the  director  of  a  hospital  column  may  also  include 
dentists. 

The  training  of  hospital  columns  should  comprise,  in  addition  to 
strictly  professional  subjects,  practical  instruction  in  methods  and 
materiel  used  in  evacuation  and  base  hospitals,  and  in  hospital  trains 
and  ships.  Methods  and  means  of  improvising  hospital  accommo- 
dations from  local  resources  should  also  be  included. 

(n)  Supply  columns,  composed  of  pharmacists  and  others  experi- 
enced in  handling  medical  and  hospital  supplies,  clerks,  teamsters, 
and  laborers,  will  be  organized  for  the  purpose  of  establishing  and 
conducting  a  Red  Cross  supply  service  in  connection  with  the  military 
sanitary  supply  department. 

The  training  of  the  personnel  of  supply  columns  must  include  prac- 
tical instruction  concerning  the  kind  and  character  of  supplies  used  in 
the  sanitary  service,  the  methods  of  purchase,  inspection,  distribu- 
tion, and  such  methods  of  accounting  as  may  be  prescribed  by  the 
central  committee  of  the  Red  Cross. 

(o)  Information  bureau  sections  composed  of  clerks,  stenog- 
raphers, and  typewriters  will  serve  under  the  immediate  super- 
vision of  directors  general  of  the  Red  Cross,  and  will  be  instructed 
in  methods  of  correspondence,  and  of  obtaining  the  necessary  informa- 
tion from  military  authorities  concerning  sick  and  wounded  and  the 
dead,  for  the  purpose  of  furnishing  such  information  to  relatives  and 
friends.  Information  bureau  sections  may  also  be  attached  to  the 
bureau  of  information  for  prisoners  of  war. 

ilj)  A  register  will  be  kept  in  the  office  of  the  Surgeon  General 
of  the  Army,  upon  which  will  be  entered  the  name,  place,  strength 
equipment,  and  efficiency  of  organized  Red  Cross  units.  No  organ- 
ization will  be  entered  on  the  register,  however,  unless  it  shall  have 
been  inspected  and  approved  by  a  representative  of  the  War  Depart- 
ment. A  Rod  Cross  unit  that  has  been  inspected  and  found  qualified 
will  be  carried  on  iho  register  for  one  year  after  date  of  such  inspec- 
tion. 


MANUAL  FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY.  183 

Applications  from  columns  or  sections  for  entry  upon  the  Surgeon 
General's  register  will  be  foi^wardcd  through  Red  Cross  channels  to 
The  Adjutant  General  of  the  Army. 

Applications  from  colunuis  or  sections  borne  on  the  Surgeon  Gen- 
eral's register  for  continuance  on  said  register  will  be  submitted" annu- 
ally on  or  before  Jime  1,  through  Red  Cross  channels,  to  The  Adjutant 
General  of  the  Army. 

(q)  Members  of  organized  columns  when  in  service  will  wear  the 
miiform  prescribed  by  the  central  committee  and  approved  by  the 
War  Department.  Their  equipment  will  be  assimilated  to  that  used 
in  the  sanitary  service. 

(f)  The  personnel  serving  with  the  land  and  naval  forces  in  time 
of  war  or  threatened  hostilities  will,  while  proceeding  to  their  place  of 
duty,  while  serving  thereat,  and  while  returning  therefrom,  be  trans- 
ported and  subsisted  at  the  cost  and  charge  of  the  United  States  as 
civilian  employees  employed  ^vith  said  forces.  Red  Cross  supplies 
that  may  be  tendered  as  a  gift  and  accepted  for  use  in  the  sanitary 
service  will  be  transported  at  the  cost  and  charge  of  the  United  States. 

(s)  Forage  will  be  issued  to  Red  Cross  organizations  in  the  field  in 
case  of  emergency  only,  upon  the  guaranty  of  the  Red  Cross  author- 
ities that  such  issues  will  be  replaced  or  the  cost  thereof  refunded. 

(t)  When  available,  suitable  quarters  may  be  assigned  to  the  Red 
Cross  in  active  service. 

INDIVIDUAL  VOLUNTARY  AID. 

537.  The  chief  surgeon  of  a  field  army,  a  division  surgeon,  a  sur- 
geon, base  group,  or  the  surgeon  of  any  organization  operating  inde- 
pendently may,  in  emergency,  with  the  consent  of  his  commanding 
officer  and  imder  authority  of  the  Surgeoii  General,  accept  service 
volunteered  individually  by  civilian  physicians,  nurses,  litter  bearers, 
cooks,  etc. 

638.  The  officer  accepting  such  seiwices  will  assign  volunteers  to 
duty  according  to  the  circumstances  of  the  emergency.  They  may, 
when  the  necessity  is  great,  be  utilized  in  the  zone  of  the  advance; 
but,  as  a  rale,  they  are  accepted  for  duty  only  on  the  line  of  commu- 
nications or  in  the  service  of  the  interior. 

639.  The  commanding  officer  of  a  general  hospital  may  accept 
similar  individual  volunteer  service  in  his  hospital  when  authorized 
by  the  Surgeon  General. 

640.  The  services  of  individual  volmiteers  who  do  not  appear  to  be 
physically  robust  and  able  to  withstand  the  hardships  to  which  they 
are  likely  to  be  exposed  should  invariably  be  rejected. 

641.  Individual  volmiteers  whose  services  are  accepted  will  be 
under  the  immediate  orders  of  the  officers  commanding  the  hospitals 
or  other  sanitary  formations  to  which  they  may  be  assigned. 


184  MANUAL   FOR    MEDICAL    DEPARTMENT^    U.    S,    ARMY. 

INSIGNIA     OF     SANITARY     PERSONNEL,     FORMATIONS, 

AND   MATERIEL. 

(See  Rules  of  Land  Warfare.) 

642.  Ill  campaign,  all  persons  belonging  to  the  sanitary  service  and 
-chaplains  attached  to  the  Army  wear  on  the  left  arm  a  brassard  bear- 
ing a  red  cross  on  a  white  ground,  the  emblem  of  the  sanitary  service 
of  armies.  Tliis  brassard  is  issued  and  stamped  with  a  number  by 
competent  authority,  and  in  case  of  persons  who  do  not  have  mili- 
tary uniforms  it  is  accompanied  by  a  certificate  of  identity. 

643.  Brassards  v/ill  be  issued  to  the  uniformed  personnel  of  the 
sanitary  service  and  to  chaplains  by  the  senior  medical  officer  of  the 
organization  with  which  they  arc  on  duty.  To  other  individuals 
entitled  thereto  under  the  provisions  of  the  Geneva  convention  bras- 
sards and  certificates  of  identity  (Form  61)  will  be  issued  by  the 
division  surgeon,  surgeon,  base  group,  the  department  surgeon,  or 
the  Surgeon  General,  as  the  case  may  require.  The  certificate  of 
identity  will  bear  the  same  number  as  the  brassard. 

644.  The  person  to  whom  a  certificate  of  identity  is  issued  will 
retain  it  in  his  personal  possession  and  exhibit  it  when  called  upon 
by  competent  authority  to  do  so.  Care  will  be  exercised  to  prevent 
the  certificate  of  identity  or  its  container  from  coming  into  the  hands 
of  another  person.  The  loss  of  a  brassard  or  of  a  certificate  will  be 
investigated  and  reported  by  the  immediate  commander  to  the  office 
which  issued  the  lost  article. 

645»  All  sanitary  formations  display  during  daylight  (reveille  to 
retreat)  the  Red  Cross  flag,  accompanied  by  the  national  flag.  If  a 
sanitary  formation  falls  into  the  hands  of  the  enemy,  it  displays  while 
in  such  situation  the  Red  Cross  flag  only.  At  night  the  positions  of 
sanitary  formations  are  marked  by  green  lanterns — a  camp  infirmary 
by  one  green  lantern ;  a  field  hospital  by  two  green  lanterns,  one  above 
the  other;  and  an  ambulance  company  or  its  dressing  station  by  one 
green  lantern  above  one  white  lantern. 

546.  All  materiel  pertaining  to  the  sanitary  service  is  also  marked 
with  the  Red  Cross  emblem,  a  red  cross  on  a  white  ground. 

STATUS  OF  SANITARY  PERSONNEL  AND  MATERIEL. 
(See  Rules  of  Land  Warfare.) 

547.  All  persons  mentioned  in  paragraph  532  and  armed  detach- 
ments or  sentinels  ordered  by  competent  authority  to  guard  sanitary 
formations  are  respected  and  protected  under  all  circumstances.  If 
they  fall  into  the  hands  of  the  enemy,  they  do  not  become  prisoners  of 
war,  but  are  disposed  of  as  provided  in  article  12  of  the  Geneva  conven- 
tion, 1906.  In  order  to  obtain  this  protection,  the  commanding  officer 
of  every  sanitary  formation  should  rec^uire  of  his  subordinates  a 
strict  observance  of  the  terms  of  the  Geneva  convention. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    A.KMY..  185 

648.  The  (lisposilioii  of  captured  sanitary  materiel  is  governed  by 
the  provisions  of  Chapter  IV  of  the  Geneva  convention,  1906. 

649.  In  order  that  materiel  may  be  entitled  to  the  protection  af- 
forded by  the  Geneva  convention,  it  must  be  set  apart  for  the  use  of 
the  sanitary  service  exclusively.  To  this  end,  transportation  which 
properly  pertains  to  the  Medical  Department  is  assigned  to  that 
department  and  will  not  be  diverted  therefrom  by  commanders  sub- 
ordinate to  the  one  by  whom  such  assignment  was  made  nor  b}^  offi- 
cers of  other  staff  departments.  This  includes  ambulances,  wagons, 
and  animals,  with  their  personnel,  hospital  trains,  ships,  and  boats^ 
together  with  the  crews  for  working  such  trains,  ships,  and  boats. 

(a)  Transportation  for  the  temporary  use  of  the  Medical  Depart- 
ment, including  wagon  and  railway  trains,  boats,  etc.,  is  reported  by 
the  officer  in  charge  to  the  senior  medical  officer,  imder  whose  orders 
such  transportation  remains  until  the  special  v/ork  to  which  it  was 
assigned  is  completed. 

(b)  Medical  and  other  supplies  for  the  use  of  the  sick  and  woimded 
are  transported,  so  far  as  possible,  by  the  Medical  Department  with 
its  own  transportation. 

GUARDS  FOR  THE  SANITARY  SERVICE. 

660.  When  necessary,  armed  guards  are  furnished  from  the  line 
for  the  protection  of  the  sanitary  service,  and  the  personnel  of  the 
latter  may  also  be  armed  and  use  their  arms  in  self-defense  or  in  de- 
fense of  the  sick  aiid  wounded.  Field  hospitals,  v/hen  not  parked 
with  the  divisional  trains,  are  ordinarily  guarded  by  ambulance  com- 
panies, guards  from  the  line  being  detailed  only  when  this  is  imprac- 
ticable. Other  sanitary  formations  are  furnished  guards  by  army, 
division,  line  of  communications,  or  detachment  commanders,  as  the 
case  may  be.  When  the  commander  of  such  a  guard  is  a  comniis- 
sioned  officer,  he  confers  with,  the  medical  commander  as  to  the 
character  of  the  guard  duty  desired  by  the  latter,  but  exercises  no 
control  over  the  sanitary  formation. 

MEDICAL   SUPPLIES. 

651.  In  combat,  expenditures  of  surgical  dressings  and  similar  arti- 
cles from  the  equipment  of  troops  on  the  line  are  normall}''  replenished 
from  the  reserve  supplies  of  the  nearest  ambulance  company  or 
camp  iniirmar}^.  No  formal  requisitions,  invoices,  or  receipts  will 
be  required. 

(a)  In  emergencies  the  division  surgeon  may  authorize  the  transfer 
of  supplies  between  other  sanitary  formations.  If  the  supplies  so 
transferred  are  nonexpendable,  invoices  and  receipts  v.dll  be  executed 
and  forwarded  in  the  usual  manner. 


186  MANUAL  FOR   MEDICAL   DEPARTMENT^   V.   S,   ARMY. 

(h)  Medical  Department  blank  forms  for  the  use  of  troops  not 
under  the  jurisdiction  of  a  department  commander,  operating  with  a 
tactical  command  mobilized  for  field  service,  whether  in  the  theater 
of  operations  or  in  the  interior,  or  in  time  of  war  or  of  peace,  will  be 
procured  by  requisition,  Form  37,  on  the  chief  medical  officer  of  the 
command  (camp  surgeon,  division  surgeon,  or  surgeon  medical  base 
group,  as  the  case  ma}^  be),  who  will  alter  and  approve  the  same  at 
discretion  for  issue  from  his  emergency  reserve  or  from  the  proper 
depot.  (See  pars.  885  and  961.)  Blank  forms,  of  other  staff 
departments  will  be  procured  as  provided  by  the  regulations  of  those 
departments  or  by  Army  Regulations. 

(c)  Supply  depots  on  the  line  of  communications  obtain  their  sup- 
plies in  the  manner  prescribed  in  paragraphs  782  to  792.  (C.  M. 
M.D.,No.2.) 

652;  With  the  exceptions  noted  in  the  preceding  paragraph,  all 
medical  supplies  for  troops  in  the  theater  of  operations  will  be  re- 
quired for  on  emergency  special  requisitions  (Form  35).  These 
requisitions  will  be  made  in  duplicate.  Those  from  divisional  troops 
will  be  forwarded  to  the  division  surgeon.  This  officer  will  modify 
them  at  his  discretion,  and  if  the  requisition  as  approved  is  within 
the  limits  of  the  prescribed  allowances  for  the  organization  making  it, 
the  original  will  be  forwarded  to  the  most  convenient  depot  for  issue. 
If  the  requisition  as  approved  calls  for  articles  in  excess  of  the  pre- 
scribed allowances,  it  will  be  forwarded  to  the  surgeon,  base  group, 
for  his  action.  Requisitions  from  sanitary  formations  on  the  line  of 
communications  will  be  forwarded  through  medical  channels  to  the 
surgeon,  base  group,  who  will  modify  them  at  his  discretion  and  for- 
ward the  original  to  the  most  convenient  depot  for  issue.  In  all  cases 
the  duplicate  copy  of  the  requisition  will  be  returned  to  the  office  of 
origin  with  modifications,  if  any,  noted  thereon. 

(a)  In  emergencies  medical  supplies  may  be  issued  to  evacuation 
ambulance  companies  and  evacuation  hospitals  on  requisitions  ap- 
proved by  the  surgeon,  advance  group. 

653.  Sanitary  formations  operating  in  the  service  of  the  interior 
obtain  their  medical  supplies  as  prescribed  for  time  of  peace.  (See 
pars.  477  to  495.) 

564.  Medical  and  other  supphes  for  the  use  of  the  sick  and  wounded 
are  transported,  so  far  as  possible,  by  the  Medical  Department  with 
its  own  transportation.  Supplies  which  can  not  be  thus  transported 
are  invoiced  to  the  Quartermaster  Corps  for  transportation,  and  their 
shipment  is  expedited  as  much  as  possible,  ammunition  and  rations 
alone,  as  a  rule,  having  precedence.  Wlien  necessary,  members  of 
tlie  Hospital  Corps  are  detailed  to  accompany  medical  property. 

555.  The  method  by  which  supplies  are  forwarded  from  the 
line  of  communications  and  distril)uted  to  troops  in  the  zone  of  the 
advance  is  described  in  Field  Service  Regulations:  Supply  Service. 


MANUAL  FOR   MEDICAL  DEPAETMENT,   U.    S.   AEMY.  187 

CORRESPONDENCE,  REPORTS,  RETURNS,  AND  RECORDS. 

556.  The  reports  and  returns  prescribed  by  regulations  all  serve 
a  useful  purpose  in  facilitating  the  proper  distribution  and  mainte- 
nance of  the  forces  at  front  and  rear,  in  preserving  then-  mobility, 
in  providing  them  with  the  necessary  funds,  supphes,  and  equip- 
ments, in  securing  a  proper  account  and  record  of  the  various  meas- 
ures taken  regarding  them,  and  generally  in  promotmg  the  efFiciency 
of  military  action.  If  the  required  papers  are  not  promptly  and 
correctly  prepared,  valuable  experience  which  might  be  utilized  for 
improvement  in  methods  \\dll  be  lost;  coordination,  of  paramount 
importance  in  campaign,  wiE  fail;  the  interests  not  only  of  the  Gov- 
ernment but  of  the  individual  soldier  as  well  will  be  sacrificed;  the 
Hospital  Corps  and  Medical  Department  units  will  be  improperly 
and  insufhciently  supplied;  the  dead  will  be  unaccounted  for;  and 
the  sick  and  wounded  under  treatment  will  suffer  needless  misery 
and  privation.  Medical  officers  miust  accordingly  use  every  endeavor 
under  all  conditions  of  service  to  insure  the  prompt  and  correct  exe- 
cution of  the  prescribed  reports  and  returns. 

557.  Correspondence,  reports,  and  returns  which  in  time  of  peace 
would  be  forwarded  to  or  through  the  department  surgeon  as  pre- 
scribed in  Part  I  of  this  Manual  will,  in  the  theater  of  operations,  be 
forwarded  to  the  division  surgeon  if  from  organizations  or  persons 
serving  with  mobilized  divisions,  and  to  the  surgeon,  base  group,  if 
from  organizations  or  persons  on  duty  with  the  line  of  communica- 
tions. 

558.  All  the  usual  reports  and  returns  required  of  medical  officei^s 
in  time  of  peace  are  given  in  paragraph  398.  Such  of  these  as  are 
applicable  to  the  changed  conditions  will  be  made  in  time  of  war. 
The  follovv^ing  special  reports  and  forms  are  required  only  during 
campaign: 

(a)  Daily  field  report  of  sanitary  persoTinel  and  transportation 
(Form  82). — This  report  will  be  made  daily  to  the  proper  medical 
superior  by  the  senior  medical  officer  of  every  organization  in  the 
field,  a  copy  being  retained.  Telegraphic  report  of  the  data  called 
for  thereon  may  be  required  if  necessary. 

Q))  Daily  field  report  of  patients  (Form  83).— This  report  will 
likewise  be  rendered  daily,  as  in  the  preceding  case. 

(c)  Monthly  reports  from  divisional  sanitary  inspectors  required  by 
paragraph  747a,  Form  50. 

(fZ)  Reports  of  the  sanitary  inspections  of  Medical  Department  or- 
ganizations  required  by  paragraph  748a-,  Form  505, 

{e)  Certificate  of  identity  (Form  61).— This  certificate  is  issued  to 
those  who  are  entitled  to  wear  a  brassard  but  who  do  not  wear  a 
uniform.     (See  pars.  542  and  543.) 


188  MANUAL   FOR    MEDICAL   DEPARTMENT,   U.    S,    ARMY. 

(/)  Diagnosis  tags. — On  the  battle  field  diagnosis  tags  are  applied 
to  aU  sick,  v/ounded,  and  dead  and  are  used  in  recording  ^.nd  report- 
ing casualties.     (See  pars.  567  to  574.) 

{g)  List  of  sicJc  and  looundecl  (Form  53). — With  the  exceptions 
noted  in  paragraph  575  this  form  wiU  be  used  as  a  substitute  for 
Forms  51,  51a,  51  &,  and  52  in  reporting  and  recording  the  sick  and 
wounded  in  the  theater  of  operations. 

(70  Return  of  casualties  (Form  149,  A.  G.  O.) — This  report  is 
made  after  every  action  in  v.'hich  casualties  have  occurred,  by  the 
commanding  officer  of  each  independent  organization.  Casualties 
pertaining  to  the  personnel  of  the  organization  makmg  the  report 
only  should  be  included.  Regimental  surgeons  furnish  regimental 
commanders  with  information  necessary  for  the  preparation  of  the 
report. 

(i)  In  the  case  of  Medical  Department  units  which  have  quarter- 
master accountability  such  additional  records,  reports,  returns,  etc., 
as  are  required  by  the  Quartermaster  Corps  must  be  kept  and  made. 

559.  The  various  blank  forms  for  the  preparation  of  the  papers 
required  by  the  several  departments  concerned  are  enumerated  in 
paragraphs  961  to  965.  They  must  be  obtained  as  mdicated  therein 
for  time  of  peace  or,  in  the  case  of  troops  in  the  theater  of  operations, 
as  prescribed  in  paragraph  5515. 

660.  Division  surgeons  and  other  medical  officers  in  the  field 
whose  functions  are  analogous  to  those  of  division  surgeons  v/ill  con- 
duct their  paper  Vs^ork  along  the  lines  indicated  in  paragraph  368. 
In  the  zone  of  the  advance,  paper  work  should  be  reduced  to  the 
minimum  consistent  with  maintaining  the  efficiency  of  the  service, 
the  interests  of  the  Government  and  of  individuals. 

561.  On  the  conclusion  of  a  campaign  division  surgeons  and  the 
surgeon,  base  group,  wiU  make  a  report  to  the  chief  surgeon  of  the 
field  army  of  the  work  of  the  Medical  Departm.ent  under  their  super- 
vision during  the  campaign.  Ifie  chief  surgeon  of  the  field  army 
will  make  a  consolidated  report  to  the  Surgeon  General,  covering 
the  work  of  the  Medical  Department  of  the  entire  Aj-my  during  the 
campaign,  and  wiU  forward  therewith  the  reports  received  from  the 
di^'ision  surgeons  and  the  surgeon,  base  group. 

562.  After  the  conclusion  of  an  engagement  each  ambulance  com- 
pany, field  hospital,  evacuation  ambulance  company,  and  evacuation 
hospital  v,'ill  make  a  special  report  of  its  \\ork  during  the  engage- 
ment to  the  proper  medical  superior;  and  hospital  trains,  trains  for 
patients,  hospital  ships,  and  ships  for  patients  v.  ill  upon  the  com- 
pletion of  each  trip  make  a  report  thereof  to  tlic  surgeon,  base  groui>j 
or  to  the  vSurgeon  General  if  the  train  or  ship  is  operating  under  his 
immediate  direction. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY.  189 

563.  Medical  supply  depots  on  the  line  of  communications  will 
m.akc  returns,  reports,  and  records  similar  to  those  of  home  depots. 
In  addition  they  will  make  to  the  surgeon,  base  group,  the  daily  lield 
reports  of  sanitary  personnel  and  transportation  required  by  para- 
graph 558. 

564.  The  correspondence  book  and  document  file  sj^stem  of  keeping 
correspondence  records  will  be  used  by  all  sanitary  formations  in 
the  theater  of  operations  unless,  in  special  instances,  a  more  elaborate 
system  is  prescribed  by  proper  authority.  (See  Appendix:  Records 
and  Correspondence.) 

665.  An  indelible  pencil  may  be  used  for  correspondence  and  in 
the  preparation  of  all  reports  and  retui^ns  except  muster  rolls,  pay 
rolls,  discharge  certificates,  and  final  statements. 

666.  When,  in  the  theater  of  operations,  retained  records  accumu- 
late to  such  an  extent  as  to  be  burdensome  to  an  organization,  they 
will  be  classified  according  to  the  staft'  department  to  which  they 
respectively  pertain,  securely  wrapped  and  labeled  and  forwarded 
for  safe-keeping  to  the  surgeon,  base  group,  or  to  such  other  officer 
as  the  division  surgeon  may  direct.  The  labels  should  show  the 
character  of  the  contents  of  each  package,  the  name  of  the  organiza- 
tion to  Yvhich  they  belong,  and  the  inclusive  dates  which  the  records 
cover. 

RECORDS    OF    SICK   AND    WOUNDED. 

567.  During  and  after  an  engagement  diagnosis  tags  will  be 
attached  to  all  wounded  and  dead  as  soon  as  practicable.  They  will 
be  made  out  in  duplicate. 

568.  In  the  case  of  wounded  the  primary  purpose  of  the  tag  is  to 
advise  the  medical  officers  under  whose  observation  the  wounded 
successively  come  of  the  treatment  previously  given  at  the  several 
points  of  relief  on  the  field  or  on  the  way  to  the  rear. 

669.  The  tag  will  be  made  out  by  the  fir&t  medical  officer  or  member 
of  the  Hospital  Corps  who  treats  the  man  previous  to  admission  to  a 
hospital  on  the  line  of  communications.  (It  is  unnecessary  to  tag  a 
patient  v/ho  is  admitted  to  a  hospital  on  the  line  of  commmiications 
v/itliout  having  been  previously  tagged.)  If  the  patient  is  badly 
hurt,  the  identification  tag  vasij  be  utilized  to  obtain  the  necessary 
information  concerning  his  name,  rank,  etc.  The  original  diagnosis 
tag  « ill  be  attached  to  the  patient's  clothing. 

670=  The  dead  found  on  the  field  will  be  tagged  in  each  case  by 
the  i\Iedicai  Department  troops  who  first  reach  the  body,  in  order 
that  other  medical  personnel  may  not  lose  time  examining  it.  The 
tag  will  be  attached  to  the  clothing  of  the  deceased. 

571.  The  duplicates  of  the  diagnosis  tags  vrill  be  disposed  of  as 
follows : 


190  MANUAL   FOR   MEDICAL   DEPARTMENT^   U.    S.    ARMY. 

(a)  Those  made  out  by  the  sanitary  personnel  of  an  organization 
for  the  officers  and  soldiers  of  their  own  command  will  be  retained 
by  the  surgeon  until  disposed  of  as  provided  in  jDaragraph  574. 

(b)  Those  made  out  for  officers  and  soldiers  of  other  commands 
will  be  transmitted  as  soon  as  possible  after  the  close  of  each  day  of 
an  engagement  to  the  division  surgeon  accompanied  by  the  check 
list  directed  to  be  sent  to  that  officer  by  paragraph  579. 

572.  The  original  tags  will  be  disposed  of  as  follows: 

(a)  Those  of  wounded  who  are  returned  from  aid  stations  to  the 
firing  line  without  going  farther  to  the  rear  will  be  removed  and 
retained  by  the  regimental  surgeon. 

(b)  Those  of  wounded  who  are  returned  to  their  organizations 
direct  from  dressing  stations  (par.  682)  or  from  the  station  for 
slightly  woimded  (par.  Ilia)  will  be  removed  upon  their  reporting 
for  duty  and  be  tui'ned  over  to  the  surgeons  of  their  several  organiza- 
tions, respectively. 

(c)  Those  of  wounded  who  are  admitted  to  a  field  hospital  and 
retained  there  for  definitive  treatment  will  be  removed  and  forwarded 
to  the  division  surgeon.  If  the  patients  are  subsequently  transferred 
to  the  line  of  communications,  they  will  not  be  retagged,  but  will  be 
accompanied  by  transfer  lists  in  regular  form  (par.  583). 

(d)  Those  of  wounded  who  are  being  evacuated  from  the  zone  of 
the  advance  will  not  be  disturbed  until  the  patients  are  admitted  to 
hospital  on  the  line  of  communications,  when  the  tags  will  be  removed, 
stamped  with  the  name  of  the  admitting  hospital,  and  the  date  of 
receipt  of  the  patient,  and  forv/arded  immediately  to  the  division 
surgeon  of  the  division  to  which  the  wounded  belong. 

(e)  Those  of  wounded  who  die  while  in  transit  from  the  field  to 
hospital  (the  death  in  each  case  being  noted  on  the  tag  as  required 
by  the  printed  instructions  in  the  tag  book),  and  the  tags  attached  to 
the  dead  found  on  the  field,  will  be  removed  when  the  bodies  are  pre- 
pared for  interment  or  equivalent  disposal,  and  wall  be  sent  likewise 
to  the  division  surgeon. 

573.  The  division  surgeon  will  cause  the  tags  received  by  him  in 
compliance  with  paragraphs  571  and  572  to  be  distributed  without 
delay  to  the  senior  medical  officers  of  the  commands  to  which  the 
men  tagged  belong,  so  that  they  may  be  available  in  accounting  for 
officers  or  soldiers  who  would  otherwise  be  carried  as  missing  on  the 
returns  of  their  organizations. 

574.  Having  served  their  purpose  in  completing  the  records  of  the 
organizations,  all  the  tags,  both  originals  and  duplicates,  will  be  for- 
warded with  the  next  periodical  lists  of  sick  and  wounded  therefrom. 

575.  The  register  of  patients  prescribed  by  paragraph  427  and  the 
monthly  report  of  sick  and  wounded  by  paragraph  458  are  not  re- 
quired from  mobile  troops  or  commands  in  the  theater  of  operations. 


MANUAL  FOR   MEDICAL  DEPAETMENT/  U.    S.   ARMY,  191 

111  lieu  tliereof  ti  record  or  list  of  the  sick  anil  wounded  with  every 
mobile  command  hi  the  theater  of  operations  which  is  accompanied 
by  a  medical  officer  will  be  kept  day  by  day  by  such  officer  on  Form 
53,  as  dk-ected  in  the  following  paragraphs  and  in  the  instructions 
printed  oh  the  form.  Field  hospitals  immobilized  and  acting  as 
camp  hospitals,  evacuation  hospitals,  base  hospitals,  supply  depots, 
contagious-disease  hospitals,  field  laboratories,  and  other  similar 
sanitary  formations  will  not  be  regarded  as  mobile  units  withm  the 
meanmg  of  this  paragraph,  but  will  keep  the  register  of  patients  and 
render  monthly  reports  of  sick  and  wounded  in  accordance  with  the 
regular  rule. 

576.  The  list  of  sick  and  wounded  will  contain  a  record  of  the 
following  cases: 

(a)  Every  officer,  soldier,  Army  field  clerk,  field  clerk,  Quarter- 
master Corps,  or  member  of  the  Nurse  Corps  with  the  command  who 
is  excused  from  duty  on  account  of  sickness  or  injury,  or  who  receives 
a  wound  of  any  character  in  action  v/hether  it  uivolves  excuse  from 
duty  or  not, 

(b)  Every  officer,  soldier.  Army  field  clerk,  field  clerk.  Quarter- 
master Corps,  or  member  of  the  Nurse  Corps  with  the  command,  not 
cun-ently  on  the  list,  who  is  sent  to  another  command  or  place  for 
observation  or  treatment, 

(c)  Every  officer,  Army  field  clerk,  field  clerk.  Quartermaster 
Corps,  or  member  of  the  Nurse  Corps  not  currently  on  the  list  who 
departs  from  the  command  on  sick  leave. 

(d)  Every  officer,  soldier,  Army  field  clerk,  field  clerk,  Quarter- 
master Corps,  or  member  of  the  Nurse  Corps  with  the  command,  not 
currently  on  the  list,  who  is  retired,  or  discharged  for  disability,  or 
dies;  and  every  civilian  with  the  command  Vvdio  dies,  (0.  M.  M.D. 
No.  8.) 

577.  In  determuiing  the  cases  to  be  entered  on  the  list  of  sick  and 
wounded  under  the  provisions  of  paragraph  576,  officers,  soldiers, 
Army  field  clerks,  field  clerks,  Quartermaster  Corps,  and  members  of 
the  Nurse  Corps  who  are  killed  or  wounded  in  action  will  be  consid- 
ered as  with  the  command  by  whose  sanitary  personnel  they  are 
tagged.  The  names  of  such  persons  will  therefore  not  necessarily 
appear  on  the  list  of  sick  and  wounded  of  their  own  organization. 
(See  par,  579a.)     (0.  M.  M.  D.  No.  8.). 

578.  Except  as  provided  in  paragraph  580,  the  list  of  sick  and 
wounded  will  be  made  in  duplicate,  and  at  the  end  of  the  month 
covered  by  it  the  original  thereof  will  be  forwarded  thi'ough  medical 
channels  to  the  Surgeon  General,     The  duplicate  will  be  retained. 

579.  After  the  close  of  each  day  of  an  engagement  the  casualties 
resulting  from  the  action  will  be  entered  on  the  monthly  list  of  sick 
and  wounded  in  two  groups,  first  those  suffered  by  the  personnel  of 


192  MANUAL   FOR    MEDICAL   DEPARTMENT,    V.    S,    ARMY. 

the  organization  making  the  list,  second  those  occurring  among  the 
personnel  of  other  organizations.  An  extra  carbon  copy  of  that 
portion  of  the  list  containing  entries  of  the  first  gi'oup  will  be  made 
and  sent  immediately  to  the  organization  commander  to  enable  him 
to  prepare  his  return  of  casualties  (Form  149,  A.  G.  O.)  or,  if  preferred, 
the  extra  carbon  copy  for  the  organization  commander  may  be  made 
on  Form  149  direct,  as  the  size  and  ruling  of  the  two  forms  are  similar. 
An  extra  carbon  copy  of  that  portion  of  the  list  containing  entries 
of  the  second  group  will  be  made  in  like  manner  and  immediately  sent 
to  the  division  surgeon  in  order  that  there  may  be  at  the  headquarters 
of  the  division  a  check  upon  the  names  of  men  reported  as  missing 
in  the  casualty  returns  of  the  organizations  to  which  they  belong. 

(a)  In  entering  on  the  list  of  sick  and  wounded  the  casualties 
resulting  from  an  engagement  there  should  be  included  only  those 
cases  which  have  not  been  previously  tagged  by  members  of  other 
organizations  and  in  the  case  of  field  hospitals  those  retained  for 
definitive  treatment  (par.  572c),  except  that  all  cases  transferred  to 
the  line  of  communications  should  be  recorded  by  the  organization 
transferring  them  in  order  that  there  may  be  a  record  within  the 
division  of  the  final  disposition  of  such  cases,     (See  par.  577.) 

580.  Stations  for  slightly  wounded  will  make  a  single  copy  of  the 
list  of  sick  and  wounded.  At  the  end  of  each  day  and  when  the 
station  is  closed  the  list  will  be  sent  at  once  to  the  division  surgeon. 

581.  Evacuation  ambulance  companies  should  include  in  their  list  of 
sick  and  wounded  only  such  cases  as  pertain  to  their  o"\vn  personnel  and 
such  cases  as  may,  under  exceptional  cii-cumstances,  fall  into  their  hands 
without  having  been  previousl}^  tagged  by  other  sanitary  fonnations. 

68)2.  Hospital  trains  and  hospital  ships  make  complete  lists  in 
regular  monthly  form  only  of  cases  occurring  among  their  own  per- 
sonnel and,  in  the  case  of  a  hospital  ship,  of  cases  admitted  thereto 
for  definitive  treatment. 

583.  Where  patients  are  transferred  from  mobile  organizations  at 
the  front  to  the  line  of  communications  a  nominal  list  of  them  should 
if  practicable  be  prepared  in  duplicate  by  the  transferring  officer, 
the  original  of  which  should  be  receipted  and  returned  to  him  by  the 
receiving  officer.  Extra  carbon  copies  of  so  much  as  may  be  per- 
tinent of  the  transferring  officer's  regular  list  on  Form  53  may  be 
made  for  this  j3urpose.  Transfers  from  camp  hospitals,  in  the  zone 
of  the  advance,  should  there  be  any  such,  will  bo  accomplished  by 
regular  transfer  cards  (par.  575). 

(a)  The  duplicates  of  the  nominal  lists  mentioned,  or  the  transfer 
cards  as  the  case  may  be,  furnished  as  above  to  an  evacuation  ambu- 
lance company,  will  be  turned  over  to  the  evacuation  hospital  or  ather 
sanitary  formation  to  which  it  delivers  the  patients.  Similar  disposi- 
tion will  be  made  by  a  hospital  train  or  hospital  ship  of  the  nominal 
lists  or  transfer  cards  received  by  it. 


MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.^  ARMY. 


193 


584.  Should  a  hospital  train  or  hospital  ship  receive  patients  unac- 
companied by  nominal  lists  or  transfer  cards,  the  commanding  officer 
of  the  train  or  ship  will  as  soon  as  practicable  prepare  a  nominal  list 
of  such  patients  on  Form  53  (separate  and  apart  from  his  regular 
monthly  list  of  sick  and  wounded)  for  disposition  as  above  provided. 
Should  the  preparation  of  such  a  list  be  impracticable  he  will  list  the 
patients  who  seem  to  be  in  danger  of  death  so  as  to  be  able  if  death 
occurs  to  report  the  necessary  details. 

(a)  Should  any  of  the  cases  be  lost  en  route  by  death,  capture,  etc., 
he  will  without  delay  report  the  cases  so  lost,  giving  the  date  and 
nature  of  the  loss,  to  the  surgeon,  base  group,  or  if  the  movement  of  the 
sick  and  wounded  is  under  the  immediate  direction  of  the  Surgeon 
General,  direct  to  him,  foi*warding  with  such  report  the  transfer  cards 
(if  any  have  been  received)  of  the  patients  so  lost. 

(b)  In  the  case  of  sick  and  wounded  necessarily  left  at  a  hospital 
other  than  the  one  designated  to  receive  them,  their  transfer  cards,  or 
a  nominal  list,  as  the  case  may  be,  will  be  left  with  the  commanding 
officer  of  such  hospital,  and  a  similar  report  of  the  patients  so  disposed 
of  will  be  made  at  once. 


ORGANIZATION   OF  THE  MEDICAL  DEPARTMENT  IN 

WAR. 

585.  The  details  of  organization,  the  amounts  and  kinds  of  trans- 
portation allowed,  and  the  factors  on  which  the  allowance  of  trans- 
portation is  based,  are  given  in  Tables  of  Organization. 

586.  The  following  table  gives  an  outline  of  the  organization  of  the 
Medical  Department  in  war: 

Department  surgeons. 

Medical  service,  mobilization  camps. 

Medical  service,  concentration  camp's. 

Camp  hospitals. 

General  hospitals: 

Convalescent  camps. 

Hospitals,  ports  of  embarkation. 

Surgeons,  ports  of  embarkation. 

Hospitals  for  prisoners  of  war. 

Medical  supply  depots. 

Hospital  train's  and  trains  for  patients. 

Rest  stations. 

Hospital  ships  and  ships  for  patients. 

Sanitary  inspectors. 


Service  of  the 
interior. 


Surgeon 
General.  •{ 


Theater  of  op- 
erations(chief 
surgeon,  field" 
army). 


I 
7010G°— 18- 


7         f+Vi      ,  [Medical  department  personnel  on  duty  with  line  organizations. 
Zone  01  the  ad-  i Directors  of  ambu- /Camp  infirmaries . 

vance   (divi-l  lance  companies. 1  Ambulance  companies, 

sion  sur- 1  Sanitary  trams.<^. 

geons).  Directors    of   fields 

I  I    hospitals. 


H Field  hospitals. 


Zone  of  the  line 
of  communi- 
cations (sur- 
geon, base 
group). 


-13 


Base  section  (surgeon,  base  group): 

Base  medical  supply  depot. 

Base  hospitals. 

Convalescent  camps. 

Contagious  disease  hospitals. 

Trains,  boats,  and  ships. 

Casual  camps  for  sanitary  troops. 

Sanitary  squads. 

Field  laboratories. 

American  National  Red  Cross  units. 

Sanitary  inspectors. 
Intermediate  section  (surgeon,  intermediate  group): 

Rest  stations. 

American  National  Red  Cross  units. 
Advance  section  (surgeon,  advance  group): 

Advance  medical  sunplv  depot. 

SanitT.rv  column  /1^'^'acuation  hospitals. 

canuary  column,  jg^.^^^^^^^j^j^  ambulance  companies. 


ARTICLE   XI.— THE   SERVICE   OF  THE  INTERIOR. 

GENERAL. 

587.  During  time  of  active  military  operations  such  peace 
organizations  of  the  Medical  Department  in  the  service  of  the  mterior 
g)ar.  528)  as  post  hospitals,  general  hospitals,  and  medical  supply 
depots  must  be  largely  augmented  to  meet  the  changed  conditions 
and  to  provide  for  the  increased  number  of  sick  and  wounded.  The 
requhements  of  the  theater  of  operations,  which  must  receive  first 
consideration,  will  necessitate  the  substitution  to  a  very  large  extent 
of  personnel  from  the  Medical  Reserve  Corps,  the  Volunteers,  the 
American  National  Red  Cross  and  other  civilian  sources  in  place  of 
the  Medical  Corps,  Hospital  Corps,  and  Army  Nurse  Corps  assigned 
to  these  institutions  in  time  of  peace.     (See  par.  538.) 

688.  As  a  part  of  the  service  of  the  mterior  a  medical  service  for 
the  transportation  of  the  sick  and  wounded  and  then  care  while  in 
transit  will  be  organized  in  rear  of  the  theater  of  operations. 

589.  Before  a  command  leaves  its  station  or  camp  m  home  terri- 
tory en  route  to  a  camp  of  concentration  or  to  the  theater  of  opera- 
tions, all  members  thereof  and  all  civilians  who  are  to  accompany  it 
should  be  examined  to  ascertain  then  freedom  from  contagious 
disease  and  their  physical  fitness  for  the  contemplated  movement. 

590.  In  movements  of  troops  by  rail  the  senior  medical  officer  of 
the  command  will  mspect  the  accommodations  provided,  giving 
special  attention  to  the  water  supply,  and  will  make  proper  recom- 
mendations for  the  correction  of  any  defects  observed. 

591.  The  several  kinds  of  Medical  Department  organizations 
required  in  the  service  of  the  interior  in  time  of  war  are  indicatetl  in 
paragraph  586. 

MOBILIZATION   CAMPS. 

(See  Army  Regulations:  Organized  Militia.) 

692.  The  places  of  assembly  for  Volunteers  and  for  the  Organized 
Militia  of  a  State,  Territory,  or  the  District  of  Columbia  when  called 
into  the  service  of  the  United  States  are  known  as  mobilization 
camps. 

593.  The  sanitary  service  of  a  mobilization  camp  is  under  the  dhec- 
tion  of  the  senior  medical  officer  on  the  staff  of  the  camp  commander, 
who  will  be  designated  camp  surgeon.  So  far  as  practicable  officers 
of  the  Medical  Corps  only  will  be  detailed  as  surgeons  of  mobilization 
camps. 
194 


MANUAL  FOR   MEDICAL  DEPARTMENT^   U.    S.   ARMY.  195 

694.  The  chief  objects  to  be  attained  by  the  Medical  Department 
at  camps  of  mobilization  are : 

(a)  To  make  the  physical  examinations  prescribed  m  Army  Regu- 
lations and  to  secure  accurate  records  of  the  condition  of  officers  and 
men  upon  then-  admission  to  the  Federal  service.  This  will  be  effected 
in  accordance  with  instructions  from  the  War  Department. 

(6)  To  make  physical  examuiations  of  civilians  attached  to  troops 
and  to  exclude  those  who  are  unfit  for  the  contemplated  service. 

(c)  To  administer  prophylactic  vaccinations.  A  record  of  these 
vaccinations  will  be  kept  as  prescribed  in  paragraphs  187, 188,  and  193. 

(d)  To  equip  all  individuals  and  organizations  ^\dth  such  articles 
of  Medical  Department  property  as  are  required  by  existing  orders, 
and  to  completely  equip  all  individuals  and  organizations  pertammg 
to  the  Medical  Department. 

(e)  To  mstruct  all  mdividuals  and  organizations  so  far  as  practicable 
in  personal  and  camp  hygiene,  and  m  addition  to  instruct  Medical 
Department  personnel,  commissioned  and  enlisted,  m  the  routine 
work  of  the  Medical  Department  in  the  field.  An  important  factor 
in  the  instruction  will  be  the  object  lesson  afforded  by  the  admhi- 
istration  of  the  camp  and  the  measures  inaugurated  for  the  mainte- 
nance of  sanitary  conditions  therein.  This  instruction  will  be  carried 
out  under  the  immediate  supervision  of  the  camp  surgeon  actmg 
under  the  direction  of  the  department  surgeon.  It  will  be  system- 
atically arranged  and  will  follow  a  definite  program  furnished  by  the 
department  surgeon. 

695.  All  letters  and  reports  to  the  department  surgeon,  the  division 
surgeon  (unless  he  is  in  camp),  or  the  Surgeon  General  will  be  for- 
warded thi-ough  the  camp  surgeon  in  order  that  they  may  be  returned 
to  the  ^vriter  for  correction,  if  necessar}". 

696.  The  equipment  for  a  camp  hospital,  varymg  according  to  the 
anticipated  strength  of  the  camp,  will  be  supplied  to  mobilization 
camps  by  direction  of  the  War  Department,  without  requisition. 

697.  Supplies  and  equipment  pertaming  to  the  Medical  Depart- 
ment in  the  hands  of  organizations  temporarily  at  camps  of  mobihza- 
tion  will  be  mamtamed  intact,  being  used  only  for  pui-poses  of  drill 
and  instruction.  The  camp  surgeon  will  provide  a  suitable  place  in 
which  the  medical  personnel  attached  to  organizations  may  hold 
sick  call  and  will  furnish  the  necessary  supplies  for  the  treatment  of 

the  sick. 

CONCENTRATION   CAMPS. 

(See  F.  S.  R.:  Service  of  the  Interior.) 

698.  The  places  which  are  selected  by  the  War  Department,  when 
war  is  imminent  or  has  been  declared,  for  the  assembly  of  troops  for 
joint  operations  or  for  embarkation,  are  known  as  concentration 
camps. 


196  MANUAL   FOR   MEDICAL  DEPAETMENT^   U.    S.   AEMY. 

599.  The  sanitary  service  of  a  concentration  camp  is  under  the 
direction  of  the  senior  medical  officer  on  the  staff  of  the  camp 
commander. 

(a)  In  addition  to  his  routine  duties  as  camp  surgeon  it  will  be  the 
duty  of  this  officer  to  continue  the  instruction  of  the  personnel  begun  at 
the  home  stations  of  the  troops  or  at  the  mobilization  camps;  to  ascer- 
tain by  inspection  of  descriptive  lists,  vaccination  registers,  and  other 
records  available  whether  the  prescribed  vaccinations  and  physical 
examinations  of  all  the  personnel  of  the  camp  have  been  made  and 
to  complete  such  inoculations  or  vaccinations  as  may  be  necessary; 
and  by  proper  measures  to  make  sure  that  aU  troops  are  equipped  as 
contemplated  in  regulations.     (See  par.  594.) 

600.  A  camp  hospital  will  be  provided  for  the  camp  upon  requisi- 
tion by  the  camp  surgeon,  unless  other  hospital  facilities  are  available 
in  the  immediate  vicinity. 

601.  The  supplies  and  equipment  pertaining  to  the  Medical  Depart- 
ment in  the  hands  of  organizations  temporarily  at  the  camp  wiU  be 
maintained  intact,  being  used  only  for  purposes  of  drill  and  instruc- 
tion. The  camp  surgeon  wUl  provide  a  suitable  place  in  which  the 
personnel  attached  to  organizations  may  hold  sick  call  and  will  fur- 
nish the  necessary  supplies  for  the  treatment  of  the  sick. 

CAMP  HOSPITALS. 

602.  A  camp  hospital  is  an  immobile  unit  organized  and  equipped 
for  use  in  cam^ps  where  the  care  of  the  sick  would  otherwise  result  in 
the  immobilization  of  field  hospitals  or  other  sanitary  formations 
pertaining  to  organizations. 

603.  Department  and  division  surgeons  and  other  administrative 
ofTicers  charged  with  providing  for  the  sick  and  wounded  under  field 
service  conditions  will  prevent  the  immobilizotion  of  sanitary  forma- 
tions pertaining  to  organizations  b}^  providing  for  the  establishment 
of  camp  hospitals  where  necessary. 

604.  The  equipment  and  personnel  of  a  camp  hospital  wiU  vary 
with  the  requirements  of  the  situation.  A  suitable  camp  hospital  for 
one  or  two  regiments  may  be  formed  with  a  regimental  hospital 
equipment,  less  transportation  (pars.  869  and  872),  as  a  nucleus.  A 
camp  hospital  for  a  brigade  or  larger  organization  may  utilize  the 
equipment  of  a  field  hospital  (par.  879  only)  as  a  nucleus.  In  para- 
graph 886  will  be  found  a  list  of  supplemental  supplies  for  the  equip- 
ment of  camp  hospitals,  more  or  less  of  which  wiU  be  necessary 
according  to  the  conditions  which  are  to  be  met.     (See  also  par.  859.) 

605.  A  camp  hospital  is  imder  the  control  of  the  senior  medical 
officer  on  the  staff^of  the  camp  commander  and  is  administered  by 
him  or  by  one  of  his  subordinates. 


MANUAL   FOR    MEDICAL   DEPARTMENT,    U.    S.    ARMY.  197 

GENERAL  HOSPITALS. 

606.  Additional  general  hospitals  will  be  established  by  the  Surgeon 
General  in  time  of  war  at  such  points  as  may  be  deemed  most  suitable. 

CONVALESCENT   CAMPS. 

607.  Convalescent  camps  will  be  established  as  branches  of  general 
hospitals  when  necessary.  The  commanding  officer  of  the  hospital 
will  also  command  the  camp. 

(a)  Such  camps  will  be  used  for  patients  who  no  longer  need  hos- 
pital treatment  but  are  not  yet  in  sufficiently  vigorous  health  to 
return  to  their  commands. 

608.  Patients  in  convalescent  camps  will  be  borne  upon  the  register 
of  sick  and  wounded  at  the  general  hospital.     (See  par.  447.) 

HOSPITALS,   PORTS   OF  EMBARKATION. 

609.  At  a  port  of  embarkatioii  where  there  is  a  general  hospital 
any  further  hospital  accommodations  that  may  be  required  will  be 
operated  as  branches  of  the  general  hospital.  At  a  port  of  embarka- 
tion where  there  is  no  general  hospital,  a  port  of  embarkation  hos- 
pital will  be  established  and  operated  under  the  immediate  control 
of  the  surgeon,  port  of  embarkation. 

SURGEONS,   PORTS    OF  EMBARKATION. 

610.  The  surgeon,  port  of  embarkation,  is  the  sanitary  adviser  of 
his  commanding  officer  in  all  matters  pertaining  to  the  Medical 
Department.  He  is  charged  with  (1)  the  control  of  the  port  of 
embarkation  hospital  when  it  is  not  a  branch  of  a  general  hospital; 
(2)  the  provision  of  medical  attendance  at  the  headquarters  to  which 
he  is  assigned;  (3)  the  medical  superintendence  of  the  transport 
service;  (4)  the  provision  of  medical  supplies,  including  those  required 
b}^  transports;  (5)  the  duties  of  camp  surgeon  (par.  599)  of  the  con- 
centration camp  so  long  as  it  is  controlled  b}^  the  commander  of  the 
port  of  embarkation. 

HOSPITALS   FOR  PRISONERS   OF  WAR. 

611.  Hospitals  for  prisoners  of  war  will  be  established  by  the  Sur- 
geon General  at  points  determined  upon  by  the  Secretary  of  War. 
They  will  have  the  status  of  general  hospitals,  and  as  such  each  will 
be  managed  under  the  direction  of  the  Surgeon  General,  except  that 
the  officer  charged  with  the  custody  and  safe-keeping  of  the  prisoners 
will  maintain  such  guards  over  the  hospital  as  may  be  necessary  to 
prevent  the  escape  of  the  prisoners  therein. 


198  .MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

MEDICAL  SUPPLY  DEPOTS. 

612.  Additional  medical  supply  depots  will  be  established  by  the 
Surgeon  General  as  he  may  deem  necessary,  having  due  regard  for  the 
sources  of  supply  and  the  facilities  for  distribution. 

HOSPITAL  TRAINS  AND   TRAINS   FOR  PATIENTS. 

613.  Hospital  trains  are  Medical  Department  organizations  and 
will  be  provided  by  the  War- Department  when  required  for  the  trans- 
portation of  the  sick  and  wounded.  In  cases  of  emergency,  when 
hospital  trains  are  not  available,  ordinary  trains  for  patients  will  be 
provided  for  the  temporary  use  of  the  Medical  Department. 

614.  A  hospital  train  made  up  of  10  cars,  of  which  8  are  for  patients 
(capacity  200),  is  allowed,  in  accordance  Vv'ith  Tables  of  Organization, 
a  personnel  of  3  medical  officers  (captains  or  lieutenants) ;  3  noncom- 
missioned officers  (1  sergeant  first  class,  2  sergeants) ;  2  acting  cooks; 
22  privates  first  class  and  privates  (20  nm-ses,  2  orderhes). 

615.  The  equipment  of  hospital  trains  and  the  personnel  and  equip- 
ment of  trains  for  patients  will  be  determined  according  to  the  needs 
of  each  case. 

616.  Hospital  trains  and  trains  for  patients  in  the  service  of  the 
interior  will  operate  under  the  direction  of  the  Surgeon  General. 
Each  train  will  be  under  the  command  of  the  senior  medical  officer 
on  duty  therewith. 

617.  The  commanding  officer  of  a  tram  will,  some  hours  before  it 
is  due  at  the  hospital  which  is  to  recei^^e  its  patients,  notify  the 
commanding  officer  of  the  latter  by  telegram  of  the  time  of  its  arrival 
and  the  number  of  patients  to  be  provided  for. 

REST   STATIONS. 

618.  Rest  stations  will  be  organized  at  points  on  the  railway  lines 
where  attention  can  best  be  given  to  sick  and  wounded  en  route. 
So  far  as  possible  the  personnel  of  such  stations  will  be  obtained 
from  the  American  National  Red  Cross. 

HOSPITAL  SHIPS   AND    SHIPS   FOR  PATIENTS. 

619.  On  oversea  expeditions  hospital  ships  and  ships  for  patients 
may  both  be  required.  They  will  be  provided  by  the  War  Depart- 
ment. 

620.  Hosi)ital  ships  are  Medical  Departm,ent  organizations  and 
will  be  used  solely  by  that  department.  Sliips  for  patients  are 
ordinary  transports  or  vessels  turned  over  to  the  Medical  Department 
for  temporary  use  in  emergencies  when  hospital  ships  are  not  available. 

621.  The  personnel  of  a  hospital  ship  (capacity  200  beds)  consists 
of  5  medical  officers  (1  lieutenant  colonel  or  major,  4  captains  and 


MANUAL  FOR   MEDICAL   DEPARTMENT^   U.    S.   ARMY.  199 

lieutenants);  5  noncommissioned  officers  (1  sergeant  first  class,  4  ser- 
geants); 5  acting  cooks;  30  privates  first  class  and  privates  (29 
nurses,  1  orderly). 

622.  The  equipment  of  hospital  ships  and  the  personnel  and  equip- 
ment of  ships  for  patients  will  be  determined  according  to  the  needs 
of  each  case. 

623.  Hospital  ships  (including  those  furnished  by  the  American 
National  Red  Cross)  and  ships  for  patients  while  in  use  as  such  will 
be  commanded  by  medical  officers  of  the  Arm}^ 

624.  In  addition  to  carrying  sick  and  wounded  between  ports, 
hospital  ships  and  ships  for  patients  may  be  utihzed  for  carrymg 
Medical  Department  personnel  and  supplies  when  this  does  not  inter- 
fere witL  their  primar}^  object. 

625.  So  far  as  possible  the  commanding  officer  of  the  ship  %vill 
notify  the  receiving  hospital,  in  advance,  of  the  prospective  time  of 
arrival  and  the  number  of  patients  aboard. 

SANITARY  INSPECTORS. 

626.  Military  estabhshments  in  the  service  of  the  interior  operated 
under  the  dnect  control  of  the  War  Department  will  be  inspected  by 
sanitary  inspectors  designated  by  the  Surgeon  General.  The  duties 
of  such  officers  are  analogous  to  those  of  department  sanitary  inspec- 
tors, and  they  will  be  governed  by  the  regulations  prescribed  for 
the  latter  (pars.  371  to  374)  in  so  far  as  they  are  applicable  to  the 
chansed  conditions. 


ARTICLE  Xn.— THE  THEATER  OF  OPERATIONS, 

GENERAL. 


REQUIREMENTS  FOR  AN  EFFICIENT  SANITARY  SERVICE. 

627.  The  mobility  of  an  army  may  be  the  factor  which  deter- 
mines its  success  or  its  failure.  It  is  therefore  highly  important  (1) 
that  the  army  should  be  relieved  as  promptly  as  possible  of  the 
cncmnbrance  of  its  sick  and  wounded;  (2)  that  this  should  be  accom- 
phshed  without  obstructing  other  mihtary  operations  in  progress, 
.  and  with  the  minimum  of  transportation  and  personnel. 

(a)  In  view  of  these  recfuirements,  it  is  evident  that  the  sanitary 
service  must  be  thorougiily  organized;  that  it  must  operate  system- 
atically, and  that  its  personnel  should  have  had  thorough  preliminary 
training. 

623.  Efficient  medical  administration  should  therefore  provide: 
(1)  In  the  zone  of  the  advance,  only  emergency  treatment  for  the 
wounded  and  their  prompt  transportation  to  the  rear;  (2)  in  the 
zone  of  the  line  of  communications,  a  service  so  complete  in  equip- 
ment, supplies,  and  personnel  that  it  will  afford  the  sick  and  wounded 
aU  the  facihties  and  comforts  of  the  service  of  the  interior,  rendering 
it  unnecessary  to  transport  farther  to  the  rear  such  patients  as  will 
later  be  able  to  rejoin  their  commands;  (3)  in  every  sanitary  station 
from  the  firing  line  to  the  base,  a  careful  classification  of  the  sick 
and  wounded  according  to  the  nature  and  severity  of  their  disabili- 
ties, with  a  view  to  such  disposition  as  will  prevent  an}-^  unnecessary 
depletion  of  the  combatant  forces. 

629.  For  the  evacuation  of  the  sick  and  wounded  to  the  rear  it 
Vv'ili  be  necessary  for  the  Medical  Department  to  utilize  all  available 
transport.  In  adcUtion  to  that  normally  assigned  to  the  department, 
combat  wagons  and  field  train  wagons  when  authorized  by  competent 
authority,  automobiles,  and  other  impressed  civihan  transportation 
of  all  kinds,  should  be  obtamed  and  used  when  the  situation  demands. 
200 


ARTICLE  XIII.— THE  ZONE  OF  THE  ADVANCE. 


CLASSIFICATION   OF  THE   SANITARY   SERVICE. 

630.  The  sanitary  personnel  of  the  zone  of  the  advance  may  be 
divided  into  two  general  groups,  as  follows:  First,  that  attached  to 
line  organizations  smaller  than  a  brigade,  which  functions  under  the 
immediate  orders  of  the  organization  commanders;  second,  that  com- 
prising the  sanitary  trains,  which  functions  under  the  orders  of  divi- 
sion surgeons  in  accordance  with  such  general  or  specific  instructions 
as  they  may  receive  from  their  division  commanders. 

SANITARY    TROOPS    ON    DUTY    WITH    LINE    ORGANIZA- 
TIONS. 

(See  also  Field  Service  Regulations.) 

631.  Sanitary  troops  with  line  organizations,  including  detach- 
ments wath  regim.ents,  battahons,  trains,  etc.,  vary  in  personnel  with 
the  strength  of  the  organization  served  and  the  nature  of  the  duties 
they  are  required  to  perform.  (See  Tables  of  Organization:  War— 
Begimental  Organizations.) 

632.  When  a  regiment  is  operating  independently  the  Medical 
Department  equipment  available  for  its  use  consists  of  the  first-aid 
packet  carried  by  each  officer  and  enhsted  man  of  the  Army  as  a  part 
of  his  individual  equipment;  the  articles  carried  as  individual  equip- 
ment by  each  medical  officer  (par.  864)  and  by  each  member  of  the 
Hospital  Corps  (par.  865) ;  the  combat  equipment  (pars.  866  and  867) ; 
the  camp  infirmary  equipment  (pars.  869  and  870) ;  and  the  additional 
articles  necessary  for  the  estabhshment  of  a  regim.ental  hospital 
(par.  872). 

(ft)  The  additional  articles  for  the  regimental  hospital  will  be  taken 
to  the  field  only  under  circumstances  requiring  the  organization  to 
provide  hospital  care  for  its  own  sick  and  w^ounded. 

633.  When  a  regiment  or  other  line  organization  is  operating  as  a 
part  of  a  division  the  Medical  Department  equipment  provided  for 
its  exclusive  use  consists  of  the  first-aid  packets  and  individual 
equipments  mentioned  in  the  preceding  paragraph,  and  the  combat 
equipment  (pars.  866  and  867).  A  small  box  of  surgical  dressmgs 
(par.  954)  and  one  or  more  Utters  are  carried  on  each  ammunition 
wagon.  The  requisite  articles  for  the  establishment  of  the  aid 
station  are  carried  on  the  pack  mule  allotted  the  sanitary  service, 
which  marches  with  the  combat  train  of  the  organization.     The 

201 


202  MANUAL   FOR    MEDICAL   DEPARTMENT,   U.    S.   ARMY. 

medical  officer  responsible  for  this  equipment  will  see  that  it  is  com- 
plete and  that  it  is  maintained  intact  for  service  in  combat. 

(a)  On  the  march  and  in  camp,  with  the  exceptions  noted  in  para- 
graph 601,  the  medical  supplies  and  dispensary  service  required  by 
regimental  organizations  are  provided  through  the  medium  of  the 
camp  infirmary. 

(h)  In  combat  it  is  contemplated  that  the  expenditures  of  dressings, 
etc.,  from  the  equipment  of  regimental  organizations  will  be  replen- 
ished from  the  reserve  supplies  of  the  nearest  ambulance  company  or 
camp  infirmary.     (See  par.  551.) 

634.  The  surgeon  of  a  line  organization  is  both  an  advisory  and  an 
administrative  officer  (par.  361). 

(a)  He  commands  the  sanitary  troops  on  duty  with  the  organiza- 
tion. 

(b)  He  is  the  adviser  of  the  organization  commander  in  medical 
and  sanitary  matters  and,  to  the  extent  of  his  authority,  is  responsible 
for  the  execution  of  sanitary  measures  in  connection  with  the 
organization. 

(c)  He  provides  care  and  treatment  for  the  sick  and  wounded,  and 
is  responsible  for  the  efficient  performance  of  the  entire  sanitary 
service  of  the  organization. 

(d)  He  makes  such  sanitary  inspections  as  may  be  necessary.  In 
connection  therewith  he  supervises  the  water  supply  and  its  purifica- 
tion, the  sanitation  of  kitchens,  the  disposal  of  garbage  and  waste 
water,  the  police  of  latrines  and  urinals  and  the  filling  in  and  mark- 
ing of  the  same  when  discontinued,  the  pohce  of  bathing  places  and 
picket  lines,  the  measures  taken  for  the  destruction  of  fUes  and  mos- 
quitoes, and  all  other  sanitary  procedures  necessary  to  preserve  the 
health  of  the  command. 

(e)  He  instructs,  at  suitable  times  designated  by  the  commanding 
officer,  the  entire  personnel  of  the  organization  in  personal  hygiene 
and  first  aid. 

(/)  He  trains  his  subordinates  in  all  departments  of  field  sanitary 
work. 

ig)  He  makes  timely  requisition  for  necessary  supplies  and  equip- 
ment. 

635.  On  the  march  the  duties  of  the  sanitary  personnel  are  to 
render  first  aid  where  required,  to  transport  the  sick  and  wounded, 
and  to  make  suitable  disposition  of  them  on  arrival  in  camp. 

636.  Ordinarily  the  surgeon  marches  with  the  regimental  com- 
mander, and  one  medical  officer  marches  in  the  rear  of  each  battalion. 
Each  officer  is  mounted  and  accompanied  by  a  mounted  orderly. 
The  remaining  regimental  sanitary  personnel  usually  march  with  the 
battalion  units. 


MANUAL  FOR   MEDICAL   DEPAETMENT,    U.    S.    ARMY.  203 

637.  When  out  of  the  presence  of  the  enemy,  ambulances  are  ordi- 
narily ordered  distributed  by  the  division  commander  throughout  the 
column,  in  the  rear  of  regiments,  battalions,  etc.  Unless  othei"wise 
ordered  these  ambulances  join  their  companies  at  the  end  of  the  day's 
march  or  at  the  beginning  of  an  engagement.  When  a  regiment 
operates  independently  it  may  be  assigned  its  full  quota  of  four 
ambulances.     (See  pars.  673  and  721.) 

638.  A  soldier  falling  out  of  the  marching  column  from  sickness  or 
injury  is  sent  to  a  medical  officer  in  the  rear,  with  a  pass  from  his 
company  commander,  showing  the  soldier's  name  and  organization. 
The  medical  officer  returns  the  pass,  showing  the  disposition  made  of 
the  soldier.  The  man  may  be  given  authority  to  ride  in  the  ambu- 
laiK:e  at  the  rear  of  the  regiment,  or  his  arms  and  personal  equipment 
may  be  carried  in  the  ambulance,  and  he  may  march  at  the  rear  of  the 
regiment  with  the  sanitary  detachment. 

639.  When  an  ambulance  at  the  rear  of  a  regiment  is  filled  it  may 
fall  out  and  jom  its  company  at  the  rear  of  the  column,  and  the 
director  of  ambulance  companies  or  the  ambulance  company  com- 
mander may  send  forward  another  ambulance  to  take  its  place;  or 
the  ambulance  may  remain  with  the  regiment,  and  men  requiring 
transportation  may  be  given  diagnosis  tags  authorizing  their  trans- 
portation by  the  ambulance  company  in  the  rear.  In  the  latter  case 
the  men  fall  out  and  report  to  the  commander  of  the  ambulance 
company  for  transportation. 

640.  The  arms,  personal  equipment,  and  clothing  of  a  soldier  who 
falls  out  are  taken  with  him  in  the  ambulance.  The  horse,  saber,  and 
horse  equipment  of  a  soldier  admitted  to  the  ambulance  or  otherwise 
separated  fr.om  his  oi"ganization  because  of  siclaiess  or  injury  are 
taken  back  to  the  troops  by  the  noncommissioned  officer  who  accom- 
panied him. 

641.  Upon  halting  for  the  night  all  but  the  trivial  cases  are  taken 
in  charge  by  a  field  hospital  designated  by  the'division  surgeon,  or 
they  are  sent  to  the  rear,  as  the  conditions  may  warrant.  It  may  be 
necessary  to  leave  them  under  shelter — in  houses,  if  practicable — • 
with  the  necessary  food  and  attendants  until  taken  in  charge  by 
sanitary  troops  from  the  line  of  communications. 

642.  In  combat  the  duties  devolving  on  the  sanitary  personnel  are 
to  render  first  aid  to  the  wounded;  to  establish  and  operate  an  aid 
station,  and  to  collect  the  wounded  thereat;  to  direct  those  with 
trivial  wounds  to  return  to  the  line,  and  to  direct  others  with  slight 
wounds  to  the  station  for  slightly  wounded;  and  in  exceptional  cases 
to  transport  the  severely  wounded  to  the  dressing  station. 

643.  The  detachment  invariably  accompanies  its  fine  unit  in  com- 
bat, rendeiing  fii-st  aid  to  as  many  as  possible  of  those  who  faU  out. 


204  MANUAL   FOR   MEDICAL  DEPARTMENT,,   U,    S.    ARMY. 

without  losing  touch  with  the  command.     It  is  assisted  by  the  band 
if  the  latter  is  assigned  to  duty  with  the  sanitary  troops. 

644.  Unless  medical  assistance  is  available,  the  wounded  apply  their 
first-aid  packets,  if  practicable.  With  this  exception  the  care  of  the 
wounded  devolves  upon  the  sanitary  troops,  and  no  combatant, 
unless  duly  authorized,  is  permitted  to  take  or  accompany  the  sick 
or  wounded  to  the  rear. 

645.  With  dismounted  troops  the  aid  station,  not  more  than  one 
for  each  regiment  or  smaller  independent  unit,  will  be  established  as 
the  engagement  develops  and  the  number  of  wounded  warrant  it 
providing  it  is  probable  that  the  command  will  remain,  for  a  short 
period  at  least,  near  the  proposed  location  of  the  station.  With  a 
mounted  command  the  sanitary  detachment  accompanies  the  troops 
during  the  whole  course  of  the  engagement,  pausing  only  so  long  as  is 
necessary  to  render  first  a^id  and  to  collect  the  wounded  at  some  place 
where  they  can  be  turned  over  to  an  inhabitant  of  the  country  to  be 
cared  for.  The  commander  of  the  advancing  foot  troops  or  of  the 
advance  section  should  be  promptly  notified  of  the  location  of  the 
wounded  thus  collected. 

646.  In  locating  the  aid  station  it  is  of  the  highest  importance  that 
advantage  be  taken  of  any  shelter  from  fire  which  the  terrain  affords. 
To  a  large  extent  the  distance  of  the  station  from  the  firing  line  must 
depend  upon  this  consideration.  It  will  be  borne  in  mind  that  any 
building  which  offers  a  good  target  for  artillery  fire  is  worse  than  no 
shelter  at  all,  and  that  the  nearer  the  station  is  to  the  front  the  safer 
it  will  be  from  dropping  projectiles.. 

647.  The  surgeon  remains,  as  a  rule,  at  the  aid  station,  with  a  non- 
commissioned officer  and  the  necessary  number  of  privates,  for  to 
this  station  the  commanding  officer  will  send  information  or  orders 
which  he  may  have  to  communicate  to  the  surgeon,  and  through  this 
station  the  surgeon  gains  contact  with  the  units  of  the  sanitary  train 
in  the  rear.  The  other  medical  officers  and  the  remainder  of  the 
detachment  keep  in  touch  with  the  firing  line,  tending  the  vrounded  as 
far  as  possible  and  conveying  the  helpless  to  the  station,  if  practicable. 
If  the  enemy's  fire  is  such  that  the  wounded  can  not  reach  the  station, 
advantage  is  taken  of  trenches,  ravines,  and  other  inequalities  of  the 
ground  affording  temporary  shelter,  and  the  wounded  are  brought  in 
during  intervals  in  the  firing  or  after  nightfall. 

648.  No  one  belonging  to  the  sanitary  personnel  of  an  organization 
will  go  farther  to  the  rear  than  the  aid  station,  except  by  authority 
of  the  surgeon. 

649.  The  aid  station,  which  will  often  be  but  little  more  than  a  place 
for  assembling  the  wounded,  should  not  undertake  elaborate  or  fixed 
arrangements  for  their  care  and  treatment,  as  its  personnel  must  keep 
in  touch  with  the  regiment  and  be  prepared  to  close  or  move  the  sta- 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  205 

tion  without  delay  when  thp  regiment  moves.  The  treatment  given 
will  usually  be  limited  to  first  aid  and  to  the  readjustment  of  dressings. 
Occasionally  it  may  become  necessary  to  ligate  an  artery  or  to  per- 
form an  emergency  operation.  Fractures,  if  not  previously  immobi- 
lized, should  be  put  in  splints.  Diagnosis  tags  will  be  attached  to  all 
wounded  and  the  duplicates  disposed  of  as  directed  in  paragraph  571. 
The  arms  and  equipment  of  wounded  separated  from  their  companies 
and  taken  in  charge  by  the  Medical  Department  should,  so  far  as 
practicable,  accompany  them  until  they  reach  the  line  of  communi- 
cations. 

650.  In  the  course  of  battle  the  advance  of  troops  may  result  in 
the  aid  station  being  separated  so  far  from  the  line  that  it  can  no 
longer  fulfill  its  purpose.  In  this  case  it  must  be  advanced  to  a  more 
favorable  location.  Ordinarily  the  wounded  left  behind  will  be 
looked  after  by  the  advancing  ambulance  company,  but  if  it  is 
apparent  that  this  will  be  long  delayed  a  small  portion  of  the  regi- 
mental personnel  may  bo  detailed  to  remain  with  them.  Similar 
action  will  be  taken  in  case  of  retreat.  The  closing  or  moving  of  the 
station  rests  on  the  decision  of  the  regimental  surgeon.  In  reaching 
his  decision  he  should  be  governed  by  the  primary  necessity  of  always 
keeping  in  touch  with  the  re^giment. 

THE   SANITARY  TRAIN. 

651.  The  sanitary  train  is  composed  of  camp  infirmaries,  ambulance 
companies,  and  field  hospitals.  It  is  commanded  by  the  division 
surgeon. 

THE    DIRECTOR    OF    AMBULANCE    COMPANIES. 

652.  For  each  division  a  medical  officer  of  the  grade  of  major  is 
designated  as  director  of  ambulance  companies,  and  there  is  assigned 
mider  him  one  sergeant  and  one  private  first  class  or  private,  Hos- 
pital Corps,  both  mounted.  The  relation  of  the  director  of  am- 
bulance companies  to  the  division  surgeon  and  to  the  ambulance 
companies  is  similar  to  that  of  a  major  of  the  line  to  the  colonel  of 
his  regiment  and  to  the  companies  of  his  battalion.  He  maintains  no 
office  of  record,  but  communications  from  the  division  surgeon  to  the 
ambulance  companies  and  vice  versa  are  sent  through  him  for  his 
information. 

653.  The  director  of  ambulance  companies  will  make  frequent 
inspections  to  ascertain  whether  all  the  companies  have  their  regu- 
lation allowance  of  personnel  and  equipment,  whether  the  personnel 
are  properly  instructed,  and  whether  the  equipment  is  in  good  con- 
dition, and  will  take  the  necessary  measures  to  correct  any  deficien- 
cies found  therein. 

654.  On  the  march  the  director  will  ordinarily  accompany  one  of 
the  ambulance  companies  on  duty  with  the  marchmg  troops  and  will 


206  MANUAL  FOR  MEDICAL   DEPARTMENT,   U.    S.   ARMY. 

superintend  the  ambulance  service  of  the  march.     He  will  keep  the 
division  surgeon  advised  as  to  where  communications  will  reach  him. 

655.  His  duties  during  and  immediately  after  combat  comprise 
supervision  of  the  removal  of  the  wounded  from  the  aid  stations  (and 
in  emergencies  from  the  front)  and  theh  care  and  treatment  en  route, 
via  the  dressing  stations,  to  the  field  hospitals.  His  activities  cover, 
therefore,  the  entire  zone  between  the  firing  line  and  the  field  hos- 
pitals, with  the  terrain  of  which  he  should  make  himself  familiar,  and 
he  will  proceed  from  point  to  point  thereof  as  his  presence  ma}'  be 
requhed.  As  far  as  practicable  he  will  keep  the  division  surgeon 
apprised  of  his  movements. 

(a)  He  will,  under  the  division  surgeon's  authority,  direct  the  open- 
ing of  dressing  stations  at  the  places  decided  upon.  Under  the  same 
authority  he  will  direct  such  changes  in  the  location  of  these  stations 
as  may  be  necessary  during  the  battle,  and  their  closing,  and  the 
reassembling  of  the  several  units  for  movement  with  the  division  as 
soon  as  practicable  after  its  conclusion. 

656.  The  director  of  ambulance  companies  also  commands  the 
camp  infirmaries  of  the  division,  as  outlined  in  paragraph  659. 

CAMP    INFIRMARIES. 

657.  Each  regiment  of  a  division  has  assigned  to  it  in  time  of  peace 
one  camp  mfiiinary  equipment  (pars.  869  and  870),  including  one 
wagon  belonging  to  the  divisional  sanitary  train.  (See  Tables  of 
Organization:  Peace — Regimental  Organizations.) 

658.  When  the  division  is  assembled  the  camp  infirmary  equip- 
ments authorized  for  the  service  of  the  mobilized  division  (usually 
on  the  basis  of  one  for  each  brigade)  are  retained  for  duty  as  camp 
infirmaries.  The  remaming  camp  infirmary  equipments,  except  trans- 
portation, are  turned  in  to  the  officer  in  charge  of  medical  supplies 
and  the  wagons  thus  released  are  assigned  to  those  units  of  the 
sanitary  train  for  which  no  transportation  is  provided  in  time  of 
peace. 

659.  The  camp  infirmaries  retained  for  the  service  of  the  division 
will  be  placed  by  the  division  surgeon  under  the  immediate  charge 
of  the  director  of  ambulance  companies.  This  officer  will  receipt  and 
account  for  the  property  and  will  be  held  responsible  for  its  condi- 
tion and  com])leteness  at  all  times.  He  will  have  general  charge  of 
the  assignment  of  the  infirmaries  to  the  troops  which  they  are 
intended  to  serve  and  he  will  keep  the  service  records  and  accounts 
of  the  pennanent  personnel  on  duty  therewith.     (C.  ^[.  M.  D.,  No.  3.) 

660.  For  permanent  duty  with  each  infirmary  there  will  be  required 
one  sergeant,  Hospital  Corps,  in  immediate  charge  of  the  proj)erty, 
and  one  driver.  Tlie  men  and  animals  of  the  camp  infirmary  will 
usually  be  attached,  for  rations  and  forage,  to  one  of  the  regiments 
served  by  the  infii-mary  or  to  an  ambulance  company. 


MANUAL  FOR   MEDICAL  DEPARTMENT^   U.    S.   ARMY.  207 

661.  The  camp  infirmaries  with  each  division  will  be  numbered 
from  one  upward  consecutively,  and  the  wagon  belonging  to  each 
infirmary  will  be  marked  as  prescribed  in  Tables  of  Organization. 
(See  also  par.  545.) 

662.  The  primary  function  of  the  camp  infirmary  is  to  furnish 
dispensary  facilities  to  one  or  more  organizations  during  field  service 
when  other  provision  is  made  for  the  hospital  treatment  of  all  sick 
and  wounded  or  for  their  prompt  evacuation  to  the  rear.  Wlien 
such  provision  is  not  made  and  the  camp  infu-mary  becomes  the 
nucleus  around  which,  a  camp  hospital  (see  par.  604)  is  developed,  it 
becomes  an  irmnobile  unit,  and  if  the  organization  to  which  it  is 
attached  should  move,  another  camp  infirmary  will  be  requhed  to 
accompany  it. 

663.  The  senior  medical  officer  of  the  units  served  by  the  infirmary 
assumes  charge  of  the  infirmary  service  and  is  authorized  to  call 
directly  on  the  other  organizations  for  their  proportionate  share  of 
medical  officers  and  sanitary  personnel  for  such  service. 

664.  The  sergeant  on  permanent  duty  with  the  mfii-mary,  after 
reporting  to  the  senior  medical  officer  of  the  units  served,  remains 
in  subordmate  charge  of  the  equipment  as  the  representative  of  the 
director  of  ambulance  companies. 

665.  When  the  camp  infirmary  is  to  be  opened  for  service  the 
surgeon  in  charge  will,  with  the  approval  of  the  camp  commander, 
notify  the  surgeon  of  each  other  unit  which  the  infirmary  is  to  serve 
of  the  time  at  which  it  will  be  available  for  his  use  to  hold  sick  call. 
He  ^vill  maintain  such  service  at  the  mfirmary  as  the  conditions  may 
warrant. 

666.  In  combat  the  equipment  of  the  camp  infirmary  may  be  uti- 
lized for  the  establishment  of  a  station  for  slightly  wounded.  (See 
par.  710&.) 

THE    AMBULANCE    COMPANY. 

667.  The  ambulance  companies  will  be  numbered  from  1  upward 
in  a  smgle  consecutive  series  for  the  entne  ;N'lilitary  Establishment. 

668.  The  vehicles  of  the  ambulance  company  will  be  marked  as 
prescribed  m  Tables  of  Organization.     (See  also  par.  545.) 

669.  The  commandmg  oflacer  of  the  ambulance  company  is  under 
the  immediate  orders  of  the  director  of  ambulance  companies,  when 
there  is  one;  otherwise,  he  is  under  the  immediate  orders  of  the 
division  surgeon. 

670.  The  personnel  of  an  ambulance  company  at  war  strength,  as 
given  in  Tables  of  Organization,  are  ordinarily  distributed  as  follows: 

(a)  With  the  dressmg  station,  including  the  Htter  bearers:  4  offi- 
cers, 1  sergeant  first  class,  6  sergeants,  1  acting  cook,  40  privates 
first  class  and  privates,  all  of  the  Medical  Department. 


208  MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

(h)  With  the  wheeled  transportation:  1  officer,  1- sergeant  first 
class,  1  sergeant,  1  acting  cook,  28  privates  first  class  and  privates 
(1  as  farrier,  1  as  saddler,  2  as  musicians,  12  as  ambulance  drivers, 
and  12  as  ambulance  orderlies),  all  of  the  Medical  Department;  also 
1  sergeant  (blacksmith)  and  3  privates  (drivers)  of  the  Quarter- 
master Corps. 

671.  The  function  of  the  ambulance  company  is  to  collect  the 
sick  and  womided,  to  aflFord  them  temporary  care  and  treatment, 
and  to  transport  them  to  the  next  sanitary  unit  in  the  rear. 

672.  In  camp  the  ambulance  company  operates  an  ambulance 
service  between  the  camp  infirmaries  and  the  field  or  other  hospitals. 

673.  On  the  march  ambulances  are  distributed  among  the  march- 
ing troops,  usually  one  to  each  regiment,  for  the  purpose  of  supply- 
ing transportation  to  those  who  become  unable  to  march.  (See  pars. 
637  and  721.) 

674.  In  combat  the  company  operates'  in  two  parts  (par.  670). 
The  first  establishes  and  operates  a  dressing  station  and  collects  the 
wounded  thereat;  the  second  operates  the  wheeled  transportation 
in  evacuating  the  woimded. 

675.  The  dressing  station  party,  including  the  litter  bearers,  \nth 
its  equipment  on  pack  mules,  moves  forward  in  rear  of  the  troops 
ready  to  establish  the  dressing  station. 

676.  The  location  of  the  dressing  stations  and  the  number  to  be 
established  will  be  determined  by  the  division  surgeon  acting  under 
the  instructions  of  the  division  commander.  The  director  of  ambu- 
lance companies  will  supervise  their  opening,  giving  the  necessary 
orders  therefor  to  the  commanders  of  the  ambulance  companies. 
He  will  report  their  opening  to  the  division  surgeon. 

677.  Exact  rules  can  not  be  formulated  as  to  the  time  when  the 
dressing  station  shall  be  opened.-  Generally  spealdng,  when  the 
advance  has  ceased  and  the  wounded  are  so  numerous  that  they  can 
no  longer  be  cared  for  by  the  regimental  personnel,  the  time  has 
come  for  the  opening  of  the  station. 

678.  It  is  desirable  that  the  site  selected  for  a  dressing  station  have 
the  following  advantages:  (1)  Protection  from  rifle  fire,  (2)  protec- 
tion from  direct  artillery  fire,  (3)  accessibility  for  wheeled  transpor- 
tation, and  (4)  a  supply  of  water.  Effective  shelter  from  fire  is  the 
chief  desideratum.  A  site  inaccessible  to  ambulances  on  account  of 
exposure  to  fire  need  not  invariably  bo  condemned,  for  the  greater 
part  af  the  work  of  tho  ambulances  is  done  after  the  close  of  the 
battle,  or  after  nightfall.  Tho  station  will  always  be  pushed  as  far 
to  the  front  as  possible  to  reduce  to  the  minimum  the  distance  over 
which  the  wounded  must  be  carried  on  litters. 

679.  In  some  cases  in  which  the  establishment  of  the  dressing 
station  has  been  delayed,  or  in  which  the  troops  arc  about  to  move 


MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY.  209 

forward,  it  may  ho  possible  to  locate  the  dressing  station  at  the  aid 
station,  thus  practically  eliminating  one  station.  l'''nder  these 
circumstances  the  dressing  station  assumes  the  work  of  the  aid 
station  and  the  personnel  of  the  two  stations  cooperate  until  the  aid 
station  moves  forward. 

(a)  The  requirement  that  the  sanitary  personnel  with  the  com- 
batant organizations  keep  in  touch  with  those  organizations  may 
make  it  necessary  for  them  to  leave  the  wounded  where  they  fall, 
pausing  only  to  administer  such  aid  as  may  be  absolutely  essential. 
Cases  thus  left  will  be  collected  and  cared  for  by  the  dressing  station 
party  as  it  advances.     (See  par.  650.) 

680.  As  soon  as  the  dressing  station  is  opened  its  bearers  under 
the  direction  of  a  medical  officer  proceed  to  the  front  as  far  as  the 
enemy's  fire  permits.  Ordinarily  they  will  be  divided  into  as  many 
sections  as  there  are  aid  stations,  each  under  a  nonconamissioned 
officer,  and  one  section  will  proceed  toward  each  aid  station. 

(a)  They  direct  wounded  who  are  able  to  walk,  to  the  station  for 
slighth'  wounded.  They  transport  other  wounded  from  the  aid 
station  to  the  dressing  station.  When  -practicable  they  also  assist 
the  regimental  medical  personnel  in  the  care  and  removal  of  wounded 
from  points  in  advance. 

(b)  Meanwliile  the  commanding  officer  of  the  company  with  the 
dressing  station  personnel  proceeds  to  put  the  dressing  station  in 
condition  to  receive  patients.  When  possible  for  wheeled  transpor- 
tation to  reach  the  dressing  station,  a  message  should  be  sent  to  the 
officer  in  charge  of  the  ambulance  train  directing  him  to  report  at 
the  station  with  the  ambulances. 

681.  The  work  of  the  dressing  station  is  carried  on  under  the 
following  departments: 

Dispensary. 
•  Kitchen. 
Receiving  and  forwarding. 
Slightly  wounded. 
Seriously  wounded. 

682.  All  wounded  will  pass  through  the  receiving  and  forwarding 
department.  Those  whose  injuries  are  not  sufficient  to  incapacitate 
them  for  the  present  performance  of  their  mihtary  duties  will,  after 
receiving  the  necessary  treatment,  be  directed  to  return  to  their 
units,  and  the  fact  that  such  directions  have  been  given  them  will  be 
noted  upon  their  diagnosis  tags.  Other  slightly  wounded,  able  to 
w^alk,  will,  after  like  treatment,  be  immediately  directed  to  the  rear 
m  command  of  their  highest  ranking  officer  or  soldier.  Generally 
they  will  be  sent  to  the  station  for  slightly  wounded. 

683.  At  the  dressing  station  only  such  operations  will  be  performed 
as  may  be  immediately  required  to  save  life  or  to  render  the  patients 

70150°—]  8 14 


210  MANUAL  FOB  MEDICAL  DEPARTMENT,   U.    S,   AEMY. 

fit  for  further  transportation.  Permanent  occlusive  dressings  may 
be  applied  if  time  permits.  The  rules  to  be  followed  generally  are 
that  no  operative  or  other  interference  should  be  attempted  under 
conditions  unfavorable  for  asepsis  or  antisepsis,  and  that  no  wounded 
for  whom  transportation  is  available  should  be  delayed  at  the  dress- 
ing station.  Conditions  in  these  respects  must  vary  widely  in  differ- 
ent battles;  when  there  are  good  faciUties  for  the  surgical  treatment 
of  cases  and  at  the  same  time  lack  of  transportation  for  wounded,  it 
would  manifestly  be  proper  to  give  them  definitive  treatment. 

684.  A  memorandum  showing  the  number  of  patients  received  and 
their  disposition  will  be  kept  in  the  receiving  and  forwarding  depart- 
ment. Diagnosis  tags  should  be  applied  to  all  woimded  not  previ- 
ously tagged  and  supplemental  entries  made  on  tags  as  required. 
For  further  records  of  sick  and  wounded  required  of  ambulance 
companies,  see  paragraph  575  et  seq. 

685.  The  ambulances  and  wagons  remain  farther  to  the  rear  than 
the  dressing  station  (usually  in  proximity  to  some  imit  or  station 
through  which  communication  with  division  headquarters  may  be 
maintained)  until  it  is  practicable  to  determine  a  line  of  evacuation 
for  the  wounded.  As  soon  as  the  dressing  station  is  established  and 
the  location  of  the  field  hospital  is  determin-ed,  a  safe  route  for  the 
ambulance  service  between  these  two  establishments  is  sought,  and, 
when  found,  the  ambulances  advance  to  begin  the  removal  of  wounded 
from  the  dressing  station.  The  wagons  of  the  ambulance  company, 
carrying  a  reserve  of  dressings,  may  remain  at  a  field  hospital,  whence 
the  supplies  may  be  sent  forward  by  ambulances  returning  to  the 
dressing  station. ■    (See  par.  728.) 

686.  Ambulances  must  reach  the  station  as  early  as  possible  even 
at  the  risk  of  losses.  Ordinarily  ambulances  will  carry  wounded  only 
from  the  dressing  station  to  the  nearest  field  hospital,  immediately 
returning  to  the  former;  any  other  destination  for  wounded  must  be 
prescribed  by  the  division  surgeon. 

687.  When  the  ambulances  are  insufficient  the  division  surgeon 
should  request  the  division  commander  to  permit  the  Medical  De- 
partment to  make  use  of  part  or  all  of  the  transportation  of  the 
division  on  its  return  from  the  front. 

688.  During  the  daytime  when  a  battle  is  still  in  progress  it  will 
rarely  be  possi'ble  for  ambulances  or  other  wheeled  vehicles  to  ad- 
vance farther  to  the  front  than  the  dressing  station.  Opportunity 
to  have  them  do  so  will  sometimes  occur  at  night,  and  on  the  con- 
clusion of  an  engagement  they  shoiild  always  be  used,  as  far  as  may 
be,  at  all  points  on  the  battle  field. 

689.  To  prevent  further  injury,  it  is  important  that  the  wounded 
should  be  handled  or  otherwise  disturbed  as  little  as  possible  in  the 
course  of  their  transportation  to  the  rear.     No  wounded  man  once 


MANUAL  FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY.  211 

placed  on  a  litter  should  be  removed  from  it  without  evident  neces- 
sity imtil  he  reaches  the  field  hospital,  whether  he  is  transported  by 
ambulance  or  otherwise. 

690.  Wliile  authority  to  close  a  dressing  station  or  to  move  it  must 
ordinarily  be  obtained  from  the  division  surgeon,  nevertheless  under 
exceptional  conditions,  when  communication  with  the  division  sur- 
geon is  interrupted,  the  director  of  ambulance  companies  may,  if  he 
deems  the  emergency  requires  it,  close  or  move  the  station  at  dis- 
cretion. In  this  case  the  division  surgeon  will  be  notified  as  soon  as 
possible  of  the  action  taken. 

(a)  Should  it  be  impossible  to  evacuate  the  wounded  at  a  dressing 
station  before  it  is  closed  or  moved,  by  reason  of  retreat  or  othermse, 
the  commanding  officer  of  the  ambulance  company  wiU  leave  with  the 
wounded,  according  to  their  number  and  condition,  sufficient  medical 
personnel  and  supplies  to  provide  for  their  immediate  necessities,  and 
will  advance  or  ^\athdraw  with  the  division  the  remainder  of  the 
personnel  and  equipment. 

THE    DIRECTOR    OF    FIELD    HOSPITALS. 

691.  For  each  division  (except  cavalry  divisions)  there  is  desig- 
nated as  director  of  field  hospitals  one  medical  officer  of  the  grade  of 
major  and  there  is  assigned  under  him  one  sergeant  and  one  private 
first  class  or  private,  Hospital  Corps,  both  mounted. 

692.  The  director  of  field  hospitals  is,  fike  the  director  of  ambu- 
lance companies,  immediately  under  the  division  surgeon  and  is  the 
latter's  executive  in  respect  to  the  field  hospitals  of  the  division. 
His  supervision  over  the  field  hospitals  is  similar  to  that  exercised 
by  the  director  of  ambulance  companies  over  those  companies. 

693.  He  wiU  ordinarily  accompany  the  field  hospital  in  advance 
on  the  march  and  remain  with  it  in  camp.  He  wiU  keep  the  division 
surgeon  informed  of  his  movements. 

694.  He  should  maintain  communication  with  the  director  of  am- 
bulance companies,  to  enable  that  officer  to  make  suitable  arrange- 
ments for  the  removal  of  patients  from  the  front,  and  with  the  sur- 
geon in  charge  of  the  sanitary  column  from  the  advance  section  to 
promote  the  rapid  evacuation  of  patients  to  the  rear, 

THE    FIELD   HOSPITAL. 

(Capacity  216.) 

695.  The  field  hospitals  will  be  numbered  from  1  upward  in  a 
single  consecutive  series  for  the  entire  Military  Establishment. 

696.  The  wagons  of  the  field  hospital  will  be  marked  as  prescribed 
in  Tables  of  Organization.     (See  also  par.  545.) 

697.  The  commanding  officer  of  the  field  hospital  is  under  the 
immediate  orders  of  the  director  of  field  hospitals,  when  there  is  one ; 
otherwise  he  is  under  the  immediate  orders  of  the  division  surgeon. 


212  MANUAL   FOR    MEDICAL    DEPABTMEKT,   U.    S,    ARMY. 

698.  The  personnel  of  a  field  hospital  at  war  strength,  as  given  in 
Tables  of  Organization,  are  ordinarily  assigned  as  follows:  1  major 
(commanding);  5  captains  and  lieutenants  (1  adjutant  and  quarter- 
master, 4  ward  surgeons) ;  3  sergants  first  class  (1  acting  fiLrst  sergeant 
in  general  supervision  of  the  hospital  and  in  charge  of  medical  prop- 
erty and  records,  1  in  charge  of  transportation  and  quartermaster 
property  and  records,  1  in  charge  of  mess  supplies  and  cooking); 
6  sergeants  (1  in  charge  of  the  dispensary,  1  in  charge  of  operating 
equipment,  1  m  charge  of  patients'  clothing  and  effects,  3  in  charge 
of  wards);  3  acting  cooks;  55  privates  first  class  and  privates  (46 
attendants,  1  dispensary  assistant,  1  artificer,  4  orderlies,  3  super- 
numeraries); and  of  the  Quartermaster  Corps,  1  sergeant  (wagon 
master)  and  7  privates  (drivers). 

699.  The  function  of  the  field  hospitals  is  to  keep  in  touch  with  the 
combatant  organizations  and  to  provide  shelter  and  such  care  and 
treatment  as  are  practicable  for  the  sick  and  wounded  of  the  division 
who  are  brought  in  by  the  ambulance  companies  until  the  sanitary 
service  of  the  line  of  communications  takes  charge  of  them.  A  field 
hospital  can  meet  these  requirements  only  when  it  is  reheved  so 
promptly  by  the  sanitary  units  in  the  rear  that  its  mobility  is  not 
interfered  with.  Prompt  evacuation  of  the  sick  and  wounded  is 
necessary  also  to  secure  for  them  the  facilities  for  treatment  and  the 
comforts  which  are  available  on  the  line  of  communications. 

700.  On  the  march  and  in  temporary  camps,  however,  the  field 
hospitals  are  the  nightly  collecting  points  for  the  divisional  sick  and 
injured  who  are  unable  to  continue  the  march,  and  must  provide  for 
the  care  of  such  patients  until  they  can  be  turned  over  to  the  medical 
service  of  the  line  of  communications.or  to  a  local  hospital  or  hospitals. 
(See  par.  641.)  The  use  of  the  field  hospitals  for  this  purpose  should 
be  carefully  regulated  by  the  division  surgeon. 

(a)  So  far  as  practicable  in  each  division  only  one  field  hospital  at 
a  time  ^vill  be  used  in  this  service,  leaving  the  others  entirely  free  of 
patients.  Furthermore,  onl}'  so  much  of  the  equipment  of  the  field 
hospital  assigned  to  this  work  should  be  unpacked  as  is  required  to 
care  properly  for  the  patients  actually  in  the  hospital  and  their 
necessary  attendants  who  are  to  remain  behind  when  the  division 
moves  on.  The  number  of  personnel  detailed  to  remain  will  be  as 
small  as  possible. 

(h)  The  equipment  which  has  not  been  unpacked  and  the  personnel 
who  have  not  been  detailed  to  remain  with  the  patients  will  move 
with  the  division. 

(c)  Every  efi'ort  will  be  made  by  the  division  surgeon  to  dispose  of 
the  patients  left  behind.  Should  unusual  delay  in  turning  them  over 
to  the  medical  service  of  the  hue  of  communications  supervene, 
temporary  provision  for  them  should  be  arranged  in  civil  hospitals 


MANUAL    FOR    MEDICAL    DEPARTMEXT,    U.    S.    AE:\IY.  213 

of  the  localil}'^  or  otherwise  as  may  ])o  most  practicable  until  the 
medical  units  of  the  line  of  communications  can  take  charge  of  them, 
(c/)  As  soon  as  the  patients  are  disposed  of,  the  personnel  detailed 
for  the  temporary  care  of  such  patients  will  immediately  rejoin  the 
hospital. 

701.  For  service  in  combat,  the  locations  of  the  field  hospitals  and 
the  number  to  be  opened  will  be  determined  by  the  division  surgeon 
acting  under  the  instruction  of  the  division  commander.  The 
director  of  field  hospitals  will  supervise  their  opening,  giving  the  nec- 
essary orders  therefor  to  the  commanders  of  the  field  hospitals.  He 
will  report  their  opening  to  the  division  surgeon. 

(a)  It  is  desirable  that  they  be  centrall}^  located  and  beyond  the 
zone  of  conflict,  which  Anil  usuall}^  necessitate  placing  them  3  or  4 
miles  in  jear  of  the  dressing  stations. 

(h)  Field  hospitals  should  be  easily  seen  and  reached  from  iront 
and  rear  and  yet  not  be  in  the  way  of  troops  and  trains.  An  ample 
supply  of  good  water  is  necessary,  and  suitable  buildings  are  of  great 
advantage.  Such  buildings  should  be  utilized  first,  and  only  so  much 
tentage  put  up  as  may  be  required. 

.  (c)  If  the  enemy  retires,  field  hospitals  will  be  established,  if  possible, 
near  the  dressing  stations  having  the  greatest  number  of  wounded. 

((/)  A  field  hospital  may  be  moved  forward  under  the  direction 
of  the  division  surgeon  to  replace  a  dressing  station  and  to  take  over 
the  patients. 

702.  The  time  when  field  hospitals  should  open  will  be  communi- 
cated by  the  division  surgeon  to  the  director  of  field  hospitals,  should 
there  be  one,  or,  there  being  none,  to  the  commanding  officers  of  the 
hospitals  concerned. 

(a)  Onl}^  one  will,  as  a  rule,  be  opened  early  in  the  battle.  This 
will  be  done  as  soon  as  the  number  of  wounded  justifies  it.  The 
other  field  hospitals  should  not  be  set  up  until  the  necessity  for  them 
is  apparent.  If  the  conditions  are  such  that  the  wounded  can-  ]»e 
evacuated  directly  to  the  line  of  communications,  the  opening  of  fiekl 
hospitals  will  be  unnecessary. 

703.  On  the  receipt  of  an  order  to  open  a  field  hospital  the  fol- 
lowmg  departments  will  be  established: 

Dispensary. 

Kitchen. 

Receiving  and  forwarding. 

Slightly  wounded. 

Seriously  wounded. 

Operating  room. 

Mortuary. 

704.  All  wounded  arriving  at  the  field  hospital  will  be  received  at 
the  receiving  and  forwarding  department,  which  is  the  admmistrative 
oflB.ce  of  the  hospital. 


214  MANUAL  FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

(a)  The  slightly  wounded,  able  to  walk,  will  be"  immediately 
directed  to  the  rear  or  to  the  station  for  slightly  wounded,  as  the 
circumstances  may  indicate, 

(b)  The  seriously  wounded,  and  the  slightly  wounded  unable  to 
walk,  will  be  assigned  to  the  proper  department  for  treatment. 

(c)  Records  of  the  wounded  will  be  made  .as  prescribed  in  para- 
graph 575  et  seq. 

705.  Under  ordinary  battle  conditions  operations  at  the  field 
hospitals  should  be  such  only  as  are  needed  to  fit  the  patients  for 
transportation  to  the  rear.  Many  extensive  dressings  will,  however, 
be  required  under  all  circumstances.  All  operations  should  be  done 
under  the  strictest  antiseptic  or  aseptic  precautions,  and  every  effort 
made  to  dress  cases  so  that  they  will  not  require  redressing  for  some 
time.  Patients  shoukl  be  fed,  if  practicable,  before  being  sent  to 
the  rear. 

706.  Every  opportunity  should  be  taken  to  transport  the  wounded 
to  the  rear.  Ordmarily  they  will  be  turned  over  to  the  transportation 
of  the  line  of  communications,  but  the  returning  transport  of  the 
division  may  be  utilized  for  this  purpose  in  the  same  manner  as  at 
the  dressing  stations  (par.  687). 

707.  TVhen  the  number  of  wounded  is  very  great  and  the  trans- 
portation facilities  are  bad,  with  no  rear  hospitals  to  relieve  field 
hospitals,  the  latter  will,  despite  all  efforts,  become  crowded  with 
wounded  which  they  can  not  dispose  of.  In  this  case  the  division 
surgeon  may  be  compelled  to  concentrate  all  wounded  in  one  or  two 
field  hospitals  so  as  to  free  the  others  for  an  advance.  The  hospitals 
left  behind  should  be  cleared  as  soon  as  possible,  in  order  that  they 
may  rejom  their  division. 

(a)  When  no  adequate  provision  is  made  for  the  evacuation 
of  the  sick  and  wounded  and  a  field  hospital  becomes  the  nucleus 
around  which  a  camp  hospital  (par.  604)  is  developed,  it  becomes 
an  immobile  unit,  and,  if  the  troops  to  which  it  is  attached 
should  move,  another  field  hospital  will  be  required  to  accompany 
them. 

708.  Field  hospitals  ordered  to  close  or  to  move  will  dispose  of 
their  patients  as  directed  by  the  division  surgeon. 

(a)  If  by  reason  of  retreat  or  otherwise  a  field  hospital  is  required 
to  move  before  it  can  evacuate  its  patients,  its  commanding  officer 
will  take  action  similar  to  that  prescribed  for  dressing  stations  in 
the  like  contmgency.     (See  par.  690a.) 

709.  The  opening,  movmg,  and  closmg  of  field  hospitals  will  be 
reported  by  their  commanding  officei"S  through  the  director  of  field 
hospitals  to  the  division  surgeon,  who  will  report  the  same  when 
necessary  to  the  surgeon  of  the  advance  group  of  the  line  of  com- 
munications. 


MANUAL  FOR  MEDICAL  DEPARTMENT,  U.    S.   ARMY.  215 

THE    STATION    FOR    SLIGHTLY   WOUNDED. 

710.  The  station  for  slightly  wounded  is  a  transient  divisional 
organization  on  the  battle  field;  it  has  no  permanent  personnel  or 
definitely  prescribed  equipment. 

(a)  The  personnel  required  for  the  station,  usually  one  medical 
officer,  two  noncommissioned  officers,  and  eight  privates,  will  be 
detached  from  such  unit  of  the  sanitary  train  as  the  division  surgeon 
may  elect.  In  some  instances  it  may  be  practicable  to  utilize  per- 
sonnel sent  forward  from  the  line  of  communications. 

(b)  For  the  equipment  of  the  station  one  of  the  camp  infirmaries  of 
the  division  may  be  utilized,  or  a  medical  and  surgical  chest  and  such 
other  supplies  as  are  necessary  may  be  temporarily  detached  from 
one  of  the  field  hospitals. 

711.  The  functions  of  the  station  for  slightly  wounded  are  (1)  to 
afford  a  place  where  men  who  are  unable  to  accompany  their  units 
into  combat  may  be  assembled;  (2)  to  relieve  dressing  stations  and 
field  hospitals  of  the  congestion  incident  to  the  presence  of  the 
slightly  wounded  who  can  walk  and  who  require  but  little  attention. 

712.  The  station,  usually  one  for  each  division,  is  established  when 
combat  is  imminent.  It  should  be  about  the  same  distance  from 
the  ffi'ing  line  as  the  field  hospitals.  A  building  should  be  selected 
for  its  use  when  practicable.  It  should  preferably  be  located  on  the 
route  oyer  which  the  troops  have  advanced,  as  this  route  is  the  one 
which  the  disabled  are  most  likely  to  f oUow  in  working  then*  way  to 
the  rear.  In  any  case  it  should  be  so  conspicuously  marked  that 
it  can  be  found  readily. 

713.  Extensive  preparations  at  this  station  are  unnecessary.  A 
tent  should  be  erected,  if  no  building  is  available,  where  dressings 
may  be  applied  or  readjusted  and  aiTangements  made  for  the  prepara- 
tion of  simple  nourishment.  Diagnosis  tags  should  be  attached  to 
all  wounded  not  already*  tagged.  The  duplicates  of  the  tags  will  be 
disposed  of  as  directed  in  paragraph  571.  A  list  of  sick  and  wounded 
will  be  prepared  as  prescribed  in  paragraph  580. 

714.  As  soon  as  possible  woimded  at  the  station  who  are  not  able 
to  return  to  their  commands  will  be  collected  into  groups  and  directed 
to  the  rear  in  charge  of  one  of  their  number. 

(a)  Minor  cases  requiring  no  further  treatment  or  only  shght  treat- 
ment will,  however,  be  directed  to  return  to  their  organizations,  and 
the  fact  that  such  directions  have  been  given  them  will  be  noted  on 
their  diagnosis  tags.  Men  who  arrive  at  the  station  without  author- 
ity and  are  able  to  do  duty  will  be  turned  over  to  the  provost  guard 
for  return  to  their  organizations. 

(b)  Should  any  of  the  sick  or  wounded  be  found  too  much  exhausted 
or  too  badly  hui't  to  go  farther  afoot,  the  commanding  officer  of  the 
station  will  report  them  to  the  nearest  field  hospital. 


216  MAIOJAL   FOR    MEDJCAI.   DEPARTMENT,    U,    S.    ARMY. 

715.  Upon  the  conclusion  of  the  engagement  the  personnel  and 
eciuipment  of  the  station  will  be  disposed  of  as  directed  by  the 
division  surgeon. 

THE  ADMINISTRATION  OF  THE  SANITARY  SERVICE  OF 

THE  DIVISION. 

716.  In  administratiA^e  matters  the  division  surgeon  bears  a  rela- 
tion to  the  units  of  the  sanitary  train  similar  to  that  of  a  regimental 
commander  to  the  battalions  and  companies  of  his  regiment. 

717.  In  order  that  the  sanitary  service  may  attain  its  highest  effi- 
ciency, flexibility  in  the  distribution  of  sanitary  personnel  and  equip- 
ment is  essential.  The  elements  comprising  the  sanitary  train  are, 
therefore,  not  ordinarily  assigned  to  units  smaller  than  a  division 
unless  the  unit  is  operating  independently.  They  are,  however,  fre- 
quently attached  to  smaller  miits  as,  for  example,  when  a  division 
marches  by  two  roads,  a  part  of  the  sanitary  train  may  accompany 
each  detachment  of  the  division.  Under  these  circumstances  the 
units  of  the  sanitary  train  are  subject  to  the  general  control  of  the 
senior  line  officer  present  with  the  immediate  command  which  they 
accompany. 

718.  When,  by  divisional  orders,  units  of  the  sanitary  train  are 
temporarily  separated  from  direct  headquarters  control  and  placed 
with  line  organizations  or  trains,  the  senior  medical  officer  present 
with  the  units  wiU  report  them  to  the  line  officer  in  command  without 
further  orders  and  wiU  receive  his  instiTictions  in  such  matters  as  the 
conduct  of  the  march  and  the  location  and  security  of  the  units  in 
camp.  Units  so  separated  from  headquarters  are  not  regarded  as 
detached  unless  they  are  specifically  ordered  to  report  to  the  com- 
mander of  the  line  troops  for  duty. 

719.  The  method  of  control  of  the  sanitary  train  varies  according 
to  circumstances.  For  example,  at  a  camp  where  arrangements 
have  been  made  in  advance  for  an  adequate  supply  of  water  and 
forage,  an  entire  division  may  be  assembled,  in  which  case  all  the 
elements  of  the  sanitary  train  wiU  be  directly  controlled  by  the  diA  i- 
sion  surgeon  (par.  651).  On  the  other  hand,  to  facilitate  loading  on 
ships,  for  example,  the  troops  of  a  division  may  be  concentrated  at 
one  port  and  the  trains  at  another  port,  in  which  case  the  entire 
sanitary  train  is  under  control  of  the  commander  of  the  divisional 
train  and  under  the  immediate  command  of  the  senior  medical  officer 
with  the  sanitary  train. 

720.  When  the  division  is  on  the  march  the  sanitary  train  is  ordi- 
narily divided.  The  division  surgeon  will  advise  the  division  com- 
mander as  to  which  units  of  the  sanitary  train  he  considers  necessary 
for  service  with  the  marching  troops  and  which  units  may  be  placed 
under  the  commander  of  the  divisional  train.  When  the  latter  units 
are  released  from  the  divisional  train  they  remain  under  the  imme- 


MANUAL   FOE    MEDICAL  DEPARTMENT,   U,    S.    ARMY.  217 

diate  command   of   their  senior  medical   officer  until   the   division 
siH'geon  assmnes  control. 

721.  On  a  mareh  not  in  the  immediate  presence  of  the  enemy,  con- 
ditions may  warrant  placing  an  entire  ambulance  company  with  the 
advance  guard  and  the  distribution  of  the  ambulances  of  one  or  more 
companies  through  the  main  body,  an  ambulance  following  each 
regiment  or  independent  battalion.     (See  pars.  637  and  673.). 

722.  A  field  hospital  will  ordinarily  be  needed  to  care  for  the  dis- 
abled brought  in  by  the  ambulances  at  the  end  of  the  march,  and 
should  be  placed  in  the  marching  column  with  due  regard  for  this 
requirement.  A  field  hospital  used  for  this  purpose  will  be  promptly 
evacuated  in  order  that  it  may  proceed  with  the  troops  when  they 
advance. 

723.  In  order  that  the  men  needing  medical  attention  may  be  cared 
for  as  soon  as  practicable  after  camp  is  estabhshed,  the  camp  infir- 
maries may  be  distributed  through  the  marching  column,  one  in 
proximity  to  each  group  of  organizations  which  will  camp  together. 
When  for  any  reason  this  is  not  practicable  they  will  march  with  the 
field  trains  of  the  units  which  fhey  are  to  serve. 

724.  When  combat  is  imminent,  elements  of  the  sanitary  train 
scattered  through  a  marching  column  may  be  ordered  to  fall  out,  al- 
lowing the  troops  to  pass  f orAvard.  It  is  essential  at  this  junctm'e  that 
no  sanitary  unit  hamper  the  movement  of  combatant  organizations. 

726.  In  combat,  the  operation  of  the  divisional  sanitary  units  will 
be  governed  in  general  by  the  character  of  the  engagement,  whether 
defensive,  offensive,  or  retrograde,  and  in  each  particular  case  by  the 
immediate  conditions  incident  to  the  locahty. 

726.  Wlien  the  mission  of  the  command  is  defensive,  and  particu- 
larly if  a  line  of  fortifications  or  some  natural  barrier;  such  as  a  river, 
can  be  taken  advantage  of,  it  may  be  practicable  to  make,  in  advance, 
a  definite  outline  of  the  sanitary  service.  Under  these  circumstances 
the  zone  within  which  casualties  will  probably  occur  can  be  deter- 
mined with  sufficient  accuracy  to  enable  the  division  surgeon  to  make 
definite  recommendations  concerning  the  announcement  in  the  battle 
order  of  the  location  of  the  station  for  slightly  wounded,  the  dressing 
stations,  and  the  field  hospitals.  As  soon  as  the  distribution  of  the 
troops  on  the  line  of  defense  is  inchcated  the  aid  stations  may  be 
located  and  routes  from  them  to  the  dressing  station  may  be  selected. 
The  sanitary  service  of  the  line  of  communications  may  send  forw^ard 
evacuation  ambulance  companies  and  evacuation  hospitals  into  the 
zone  of  the  advance  in  readiness  to  evacuate  the  wounded  immediateh^ 

727.  When  the  command  takes  the  offensive  the  difficulties  of  the 
sanitary  service  are  greatly  increased.  The  station  for  slightly 
wounded  is  established  at  once  for  assembling  the  sick  who  are  not 
able   to   accompany  their  organizations  into  battle.     As  the  situa- 


218  MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

tioii  develops  the  organizations,  followed  by  their  sanitary  detach- 
ments, move  forward.  Wounded  are  given  first  aid,  but  no  aid  sta- 
tion is  established  until  the  organization  has  ceased,  temporarily  at 
least,  to  advance,  and  until  the  number  of  wounded  in  that  vicinity 
justifies  it.  (See  par.  645.)  The  time  and  place  for  the  opening  of 
the  station  is  determined  by  the  organization  commander,  unless  he 
has  authorized  the  surgeon  to  use  his  discretion  in  the  matter. 
Dressing  stations  are  established  when  required  by  the  number  of 
wounded  on  any  sector  of  the  line.  The  division  surgeon,  with  the 
approval  of  the  division  commander,  gives  directions  for  the  opening 
of  the  station  to  the  director  of  ambulance  companies.  The  dressing 
station,  as  soon  as  it  arrives  at  its  location,  sends  forward  bearers  to 
establish  communication  with  the  aid  stations  of  organizations  serv- 
ing on  its  sector  of  the  line.     (See  par.  680.) 

728.  The  wagons  of  the  ambulance  companies  may  be  left  at  field 
hospitals,  in  order  that  the  supplies  which  they  carry  may  be  for- 
warded to  the  dressing  stations  by  means  of  the  ambulances  as  they 
go  back  and  forth.     (See  par.  685.) 

729.  All  the  field  hospitals  may  be  held  in  readiness  to  establish 
until  definite  information  can  be  secured  as  to  the  progress  of  the 
engagement  and  the  number  of  casualties,  or  when  conditions  war- 
rant it  one  field  hospital  may  be  established  as  soon  as  the  dressing 
stations  are  located  (par.  702a).  Ordinarily  the  work  of  field  hos- 
pitals will  not  commence  until  several  hours  after  the  engagement 
has  begun. 

730.  In  a  retrograde  movement,  whenever  practicable,  transpor- 
tation and  supplies  precede  the  troops.  The  sanitary  service  will 
require  some  ambulances  held  as  near  as  possible  to  the  rear  guard, 
which  should  be  accompanied  by  a  liberal  allowance  of  sanitary  per- 
sonnel. So  far  as  practicable  the  wounded  in  rear-guard  actions 
should  be  placed  on  litters  and  promptly  carried  forward  to  the 
ambulances. 

731.  The  defensive,  offensive,  and  retrograde  movements  prac- 
tically cover  the  entire  field,  of  the  activities  of  the  sanitary  service 
in  combat.  The  rencontre  engagement  necessarily  develops  into 
one  of  these  three  by  the  time  a  definite  course  of  procedure  for  the 
sanitary  service  must  be  determined. 

•732.  Whatever  the  form  of  the  engagement  the  division  surgeon 
arranges,  as  soon  as  practicable,  for  the  publication  in  orders  of  the 
information  necessary  for  the  operation  of  the  sanitary  service. 
In  order  that  divisional  orders  may  not  be  burdened  with  details,  he 
recommends  for  inclusion  in  these  orders  only  such  information  as  is 
ref{uired  by  combatant  organizations  and  their  attached  sanitary  per- 
sonnel, and  he  issues  orders  direct  to  the  units  of  the  sanitary  train 
embodying  the  details  of  the  service  which  concern  these  imits  only. 


MANUAL  FOR   MEDICAL  DEPARTMENT^   U.    S.    ARMY.  219 

733.  Combatant  troops  desire  to  know  (1)  the  location  of  the  aid 
station  for  their  organization,  and  (2)  the  location  of  the  station  for 
slightly  wounded.  The  location  of  the  aid  station  is  published  by 
the  organization  commander  as  soon  as  it  has  been  determined,  while 
the  location  of  the  station  for  shghtly  wounded  should  be  published 
in  the  battle  order. 

*  734.  It  is  important  that  the  surgeons  of  combatant  organizations 
should  know  as  early  as  practicable  the  location  of  the  dressing  sta- 
tion serving  their  sector  of  the  line,  in  order  that  they  may  so  locate 
the  aid  stations  as  to  reduce  to  the  minimum  the  distance  that 
patients  will  have  to  be  carried  by  litter  bearers.  The  surgeons  of 
combatant  organizations  also  require  information  as  to  the  location 
of  the  station  for  slightly  wounded. 

735.  The  divisional  battle  order  usually  furnishes  information  in 
paragraph  4  as  to  the  location  of  the  station  for  slightly  wounded, 
and  in  clefensive  operations  it  inay  announce  the  locations  of  dressing 
stations  and  possibly  of  field  hospitals,  though  the  latter,  as  a  rule, 
does  not  directly  concern  the  combatant  troops.  When  it  is  impos- 
sible to  determine  in  advance  of  an  engagement  the  locations  of  the 
dressing  stations,  that  information  is  furnished  the  combatant 
organizations  through  military  channels  as  soon  as  practicable.  In 
any  case  the  surgeons  of  combatant  organizations  finally  learn  the 
locations  of  the  dressing  stations  through  the  litter  bearers  who  are 
sent  forward  to  the  aid  stations. 

736.  In  defensive  engagements,  as  indicated  above,  the  division 
surgeon  may  recommend  that  paragraph  4  of  the  battle  order  state, 
that  a  station  for  slightly  wounded  is  established  at  a  designated 
point;  that  dressing  stations  will  be  located  at  designated  points  to 
serve  certain  sectors  of  the  line,  for  example,  one  to  serve  the  sector 
extending  from  the  left  flank  to  a  certain  road,  house,  creek,  or  other 
landmark  indicated  on  the  maps,  with  which  the  troops  are  sup- 
plied, another  to  serve  the  sector  extending  from  the  point  above 
mentioned  to  the  right  flank;  and,  in  case  conditions  warrant  such 
an  announcement  in  advance,  that  one  or  more  field  hospitals  will 
be  estabhshed  at  designated  places. 

737.  In  offensive  movements  it  may  be  impracticable  to  include  in 
the  divisional  order  anything  more  than  the  statement  of  the  loca- 
tion of  the  station  for  slightly  wounded,  and  if  deemed  expedient 
some  information  concerning  the  places  at  which  ambulance  com- 
panies and  field  hospitals  will  hold  themselves  in  readiness.  (See 
par.  685.) 

738.  If  the  locations  of  the  dressing  stations  and  field  hospitals 
have  not  been  announced  in  the  battle  order,  the  division  surgeon, 
with  the  approval  of  the  division  commander  and  ordinarily  after  con- 
sultation with  the  directors  of  field  hospitals  and  ambulance  com- 


220  MANUAL    FOR    MEDICAL   DEPARTMEXT,    U.    S.    ARMY. 

panies,  will  issue  orders  concerning  the  locations  of  these  units  and 
will  usually  designate  by  number  the  field  hospital  and  ambulance 
company  units  which  are  to  open  at  the  locations  specified.  He  also 
transmits  such  information  necessary  for  the  operation,  of  the  sani- 
tary units  as  he  may  have  received  from  the  division  commander; 
e.  g.,  the  routes  vehicles  may  take  between  front  and  rear. 

739.  In  a  retrograde  movement  a  formal  order  may  not  be  issued. 
In  this  case  the  sanitary  units  not  rendering  service  with  troops  will 
be  governed  by  the  general  instructions  given  the  commander  of 
trains;  those  serving  the  troops  will  be  governed  by  the  orders  of 
the  officer  in  immediate  command  on  whom  devolves  the  responsi- 
bility for  meeting  emergencies  as  they  arise. 

740.  In  service  with  mounted  commands  pertaining  to  an  infantry 
division  it  is  ordinarily  impracticable  to  establish  aid  stations  in 
combat.  The  sanitary  personnel  continue  Avith  the  organization. 
When  any  of  them  pause  to  render  first  aid,  they  rejoin  the  command 
as  soon  as  possible.     (See  par.  645.) 

741.  Wlien  a  cavalry  division  is  operating  as  a  screen,  the  sanitary 
service  is  confronted  by  many  difficulties.  The  cavalry  may  be  one 
or  more  days'  march  in  advance  of  the  infantry  divisions  and,  in  a 
hostile  country,  may  make  no  effort  to  continue  in  control  of  the 
territory  over  which  it  has  passed.  The  mission  of  the  sanitary  serv- 
ice under  these  conditions  will  be  to  render  first  aid  and  to  transport 
the  wounded  as  rapidly  as  i)ossible  to  the  nearest  place  accessible  to 
the  sanitary  service  of  the  infantry  or  of  the  line  of  conununications. 
For  this  reason  a  cavalry  division  is  provided  with,  a  greater  number 
of  ambulances  in  proportion  to  the  divisional  strength  than  an  in- 
fantry division.  In  case  it  is  deemed  impracticable  to  take  hospital 
equipment  into  the  area  in  advance  of  the  infantry  divisions  a  field 
hospital  pertaining  to  the  cavalry  division  may  be  established  within 
the  line  controlled  by  the  foot  troops,  and  under  these  circumstances 
the  additional  ambulance  facilities  provided  will  be  required  to  trans- 
port the  wounded  to  the  field  hospital.  On  the  other  hand,  if  con- 
ditions warrant  advancing  the  field  hospital  into  the  area  between 
the  infantry  and  cavalr}-,  abundant  ambulance  facilities  will  be  re- 
quired to  transport  wounded  to  the  field  hospital  from  the  broad  front 
which  the  cavalry  when  acting  as  a  screen  may  occupy.  Under  these 
circumstances  the  use  of  a  i)ortion  of  the  ambulances  for  transporta- 
tion of  the  unmounted  Hospital  Corps  attached  to  the  field  hospital 
may  be  unavoidable  to  enable  the  field  hospital  to  keep  in  touch  with 
the  mounted  troops.  "Wlien  opposing  armies  approach  each  other 
cavalry  is  finally  withdrawn  from  the  intervening  space  and  may  take 
position  on  the  flanks  of  the  infantry,  in  which  case  the  sanitary 
service  is  operated  as  in  an  infantry  division  and  ma}'  be  directed  by 
the  commander  of  the  field  forces  to  cooperate  with  the  sanitary  units 

•of  the  infantrv  or  of  the  line  of  comnuiiiications. 


MANUAL    FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY.  221 

742.  The  service  of  sanitaiy  detachments  with  org:anizations  of 
the  cavalry  division  is  similar  to  that  of  the  sanitary  troops  with  the 
cavalry  of  an  infantry  division.  "\ATien  difficulties  of  communication 
render  it  impracticable  for  the  division  surgeon  to  direct  personally 
the  sanitary  service  with  the  cavalry  division,  much  will  necessarily 
be  left  to  the  initiative  and  judgment  of  the  director  of  ambulance 
companies  and  the  senior  medical  officer  with  each  individual  unit. 

DUTIES    OF    THE    DIVISION    SURGEON. 

743.  The  division  surgeon  is  both  an  advisory  and  an  adminis- 
trative officer.  (See  par.  361.)  In  his  advisory  capacity  he  makes 
recommendations  concerning  all  matters  pertaining  to  the  sanitary 
welfare  of  the  command  and  concerning  matters  pertaining  to  the 
persoimel  and  equipment  of  the  sanitary  service  under  organization 
commanders.  In  his  administrative  capacity  he  is  in  immediate  com- 
mand of  the  Medical  Department  personnel  attached  to  division  head- 
quarters, of  the  sanitary  train,  and  of  American  National  Red  Cross 
units,  and  other  voluntary  aid  personnel  should  they  be  authorized 
in  exceptional  cases  to  perform  service  with  the  division. 

744.  The  duties  of  the  division  surgeon  that  may  be  specifically 
stated  are  as  follows : 

(a)  He  will  take  action  on  all  official  papers  passing  through  his 
office  in  a  manner  similar  to  that  prescribed  for  department  surgeons 
(pars.  365  and  368).  The  channels  through  which  papers  pertaining 
to  the  medical  department  go  forward  will  be  determined  by  the 
chief  surgeon  of  the  field  army  according  to  circumstances.  (See 
par.  828.) 

(&)  He  will  render  to  the  chief  surgeon,  field  army,  the  consolidated 
daily  field  report  of  sanitary  personnel  and  transportation  and  the 
consolidated  daily  field  report  of  patients  (Form  84)  and  the  weekly 
noneffective  curve  chart  (Form  85). 

(c)  He  will  see  that  proper  inspections  are  made  of  sanitary  con- 
ditions in  the  division  and  of  the  medical  units  of  the  division.  These 
inspections  will  ordinarily  be  made  by  the  sanitary  inspector. 

(d)  He  will  arrange  a  systematic  and  orderly  service  for  the  care 
and  disposal  of  the  sick  and  wounded  of  the  division  in  camps,  on 
the  march,  and  in  battle,  having  in  view  the  retention  of  effectives  at 
the  front  and  the  prompt  removal  of  noneffectives  to  the  rear. 

(e)  He  will  keep  the  surgeon,  advance  group,  advised  as  to  the 
probable  requirements  of  the  sanitary  service  of  the  division  and  as 
to  the  number  of  patients  for  whom  provision  will  be  required  on 
the  line  of  communications. 

(/)  He  wiU  keep  the  chief  surgeon  of  the  field  army  advised  as  to 
the  efficiency  and  requirements  of  the  divisional  sanitary  serv^ice. 


222  MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

ig)  On  the  march  the  division  surgeon  ordinarily  accompanies  the 
division  commander,  giving  such  advice  and  information  regarding 
the  sanitary  service  as  may  be  called  for,  and  securing  aU  information 
necessary  concerning  the  disposition  of  troops  to  enable  him  to 
formulate  plans  for  the  sanitary  service  which  these  dispositions  wall 
require. 

Qi)  When  battle  is  imminent  he  will  utilize  aU  facihties  available 
to  familiarize  himself  with  the  terrain  which  will  probably  be  covered 
and  will  obtain  and  distribute  to  the  officers  of  the  sanitary  train  such 
information  of  a  general  nature  as  will  assist  them  to  determine  their 
course  of  action. 

(i)  After  an  engagement  he  will  immediately  report  losses-  in  med- 
ical personnel  to  the  division  commander  and  will  take  proper  meas- 
ures to  replace  the  supphes  and  equipment  of  the  sanitary  troops  of 
the  division.  He  will  free  field  hospitals  of  patients  as  promptly  as 
possible  in  order  that  they  may  be  ready  for  another  engagement  or 
a  forward  movement. 

745.  The  senior  medical  officer  of  a  brigade  or  detachment  acting 
independently  will  perform  for  the  conunand  such  of  the  duties  of  a 
division  surgeon  as  the  circumstances  may  render  necessary. 

THE    DIVISION    SANITARY    INSPECTOR. 

746.  As  an  assistant  to  the  division  surgeon  a  medical  officer  of 
the  rank  of  lieutenant  colonel  is  assigned  to  each  division  for  duty  as 
sanitary  inspector.  He  is  primarily  an  advisory  officer  (par.  362)  but 
may  in  addition  be  assigned  certain  executive  duties. 

747.  A  sanitary  inspector  is  charged  especially  with  the  supei"vision 
of  the  sanitation  of  the  command  to  which  he  is  assigned.  In  this 
connection  he  inspects  and  reports  upon  the  sanitary  conditions 
within  the  command,  upon  the  occurrence  of  preventable  diseases  and 
the  sufficiency  of  the  measures  taken  for  their  prevention,  and  in 
general  upon  aU  matters  affecting  the  sanitary  care  of  troops. 

(a)  At  the  end  of  every  month  each  sanitary  inspector  will  for- 
ward to  the  Surgeon  General,  through  mihtary  channels,  a  report  of 
the  inspections  made  by  him  during  the  month  under  the  provisions 
of  this  paragraph,  indicating  the  sanitary  defects,  if  any,  observed 
and  the  measures  taken  for  their  prevention.  This  report  wiU  bo 
made  on  Form  50,  modified  if  necessary  to  suit  the  case. 

748.  Sanitary  inspectors  also  inspect  and  report  upon  the  adminis- 
tration of  the  units  of  the  sanitary  train;  the  efficiency,  instruction, 
and  adequacy  of  the  medical  personnel;  the  condition  of  hospitals; 
the  character  and  sufficiency  of  medical  supplies;  the  facilities  for 
transporting  medical  supphes  and  the  sick  and  wounded;  and  in 
general  all  matters  affecting  the  care,  weU-being,  and  comfort  of  the 
sick  and  wounded. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  223 

(a)  A  report  of  each  formal  inspection  made  under  the  provisions 
of  this  paragraph  will  be  made  on  Form  506,  and  will  be  forwarded 
within  five  days  after  the  inspection  is  made  through  mihtary  chan- 
nels to  the  Sugeon  General.  A  duphcate  will  be  filed  in  the  office  of 
the  division  surgeon.  Should  this  report  indicate  any  irregularities 
or  defects  of  medical  admmistration,  the  sanitary  inspector  will  fur- 
nish a  triphcate  through  military  channels  to  the  medical  officer 
commanding  the  Medical  Department  organization  concerned,  who 
will,  without  delay,  report  by  mdorsement  thereon  what  remedies 
he  has  applied  or  will  apply  to  correct  each  of  the  irregularities  or 
defects  noted.  Such  reports  so  indorsed  wiU  also  be  forwarded 
through  military  channels  to  the  Surgeon  General. 

749.  Organization  commanders  are  usually  required  by  divisional 
orders  to  remedy  sanitary  defects  reported  to  them  by  the  sanitary 
inspector.  To  facihtate  the  attainment  of  satisfactoiy  sanitary  con- 
ditions the  sanitary  inspector  may  be  authorized  by  the- division 
commander  to  direct,  in  the  name  of  the  latter  and  within  such  limita- 
tions as  he  may  prescribe,  the  prompt  correction  of  conditions  preju- 
dicial to  the  health  of  the  troops. 

750.  For  the  pm-pose  of  supervising  or  executing  sanitary  meas- 
ures in  divisional  camps  of  more  or  less  duration  sanitary  squads 
may  be  organized  and  placed  under  the  control  of  the  sanitary 
inspector.     (See  pars.  774  to  777.) 

(a)  Manure  and  refuse  dumps  used  by  the  division  in  common, 
the  water  supply,  measures  for  the  prevention  of  mosquitoes  and  flies, 
the  pohcing  of  areas  outside  the  jurisdiction  of  organization  com- 
manders, etc.,  may  be  placed  in  charge  of  such  squads. 

(h)  In  the  employment  of  sanitary  squads  in  divisional  camps  the 
provisions  of  paragraph  777  wiU  be  strictly  compUed  with. 


ARTICLE  XIV.— THE  LINE  OF  COMMUNICATIONS. 


GENERAL. 


751.  The  line  of  communications  is  the  connecting  link  between  the 
service  of  the  interior  and  the  zone  of  the  advance.  It  is  established 
when  an  important  force  is  about  to  engage  m  field  operations  involv- 
ing a  movement  from  a  base  unless  the  territory  through  which  the 
supply  services  extend  can  be  safely  occupied  without  military  oper- 
ations of  an  extensive  character.  In  the  latter  case  administration 
and  supply  are  accomplished  as  in  the  service  of  the  interior. 

752.  The  point  at  which  the  base  of  a  line  of  communications  is  to 
be  established  is  fixed  in  War  Department  orders.  The  zone  of  the 
line  of  conrtnunications  embraces  all  territory  from  and  including 
the  base  to  the  point  or  pomts  where  contact  is  made  with  the  trains 
of  the  combatant  forces.  Certain  of  its  activities,  including  those 
of  the  sanitary  service  in  evacuating  the  wounded,  extend  forward 
into  the  zone  of  the  advance  when  necessary. 

753.  The  Ime  of  communications  is  ordinarily  divided  into  a  base 
section  and  an  advance  section.  In  certain  cases,  due  to  prolonga- 
tion of  the  line  of  communications,  an  mtermediate  section  ma}'  be 
requu-ed.  An  advance  section  is  required  at  the  head  of  each  impor- 
tant route  of  supply  diverging  from  the  base. 

754.  The  mission  of  the  sanitary  service  of  the  line  of  communica- 
tions is  (1)  to  provide  such  adequate  facilities  for  the  treatment  of 
the  sick  and  wounded  that  those  not  permanently  disabled  may  be 
returned  to  the  front  with  the  least  practicable  delay;  (2)  to  furnish 
such  an  efficient  evacuation  service  as  will  promptly  relieve  the 
fighting  forces  of  the  encumbrance  of  their  sick  and  wounded  and 
allow  the  sanitary  units  in  the  zone  of  the  advance  to  maintain 
contact  with  their  combatant  organizations;  (3)  to  organize  and 
maintain  a  system  of  supply  that  will  enable  the  sanitary  troops  in 
the  theater  of  operations  to  replenish  their  equipment  and  supplies 
by  direct  methods  and  without  delay;  (4)  to  maintain  satisfactory 
sanitary  conditions  among  the  troops  on  the  line  of  communications 
and,  if  necessary,  to  take  entu-e  charge  of  sanitation  among  the 
inhabitants  of  the  occupied  territory. 

755.  When  the  military  conditions  in  occupied  territory  are  such 
as  to  impair  the  usual  agencies  of  medical  relief  among  the  inhabitants 
thereof,    the  Medical   Department   may    take   such   measures,   not 

224 


MANUAL    FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY.  225 

incompatible  with  the  necessities  of  the  occupying  forces,  as  may  1)e 
necessary  to  relieve  the  distress  and  suffering  of  the  sick. 

766.  The  Medical  Department  units  pertaining  to  the  line  of  com- 
munications are  the  following: 

Base  group. — ^A  medical  supply  depot,  one  or  more  base  hospitals, 
and,  when  required,  convalescent  camps,  contagious  disease  hospitals, 
hospital  trams  and  trauis  for  patients,  hospital  ships  and  ships 
for  patients,  casual  camps,  sanitary  squads,  field  laboratories,  and 
organizations  of  the  American  National  Red  Cross. 

Intermediate  group. — Rest  stations,  organizations  of  the  American 
National  Red  Cross,  and  such  other  sanitary  formations  as  may  be 
necessary. 

Advance  group. — Two  evacuation  hospitals  and  one  evacuation 
ambulance  company  for  each  division  at  the  front  supplied  from  the 
advance  section,  and  an  advance  medical  supply  depot.  The  evacu- 
ation hospitals  and  evacuation  ambulance  companies  of  the  advance 
section  are  collectively  known  as  the  sanitary  colunm. 

THE  BASE  HOSPITAL. 

(Capacity  500.) 

757.  Base  hospitals  are  Medical  Department  units  of  the  line  of 
communications  under  the  supervision  of  the  surgeon,  base  group. 
The}"  will  occupy  buildings,  if  suitable  ones  are  available. 

758.  The  base  hospitals  will  be  numbered  from  1  upward  in  a 
single  consecutive  series  for  the  entire  Military  Establishment.  They 
will  be  further  distinguished  by  adding  the  designation  of  the  field 
army  to  which  they  belong,  as  "Base  Hospital  No.  9,  3rd  Field 
Army." 

759.  These  hospitals  should  be  established  at  the  base  and,  when 
necessary,  in  accessible  situations  along  the  line  of  communications. 
The  number  to  be  assigned  to  each  line  of  communications  when 
first  established  is  determined  on  the  basis  of  the  number  of  troops 
to  be  served  and  the  percentage  of  sick  and  wounded  which  may 
reasonably  be  anticipated  in  the  particular  campaign  in  question. 
(See  par.  152.) 

(a)  New  base  hospitals  may  be  established  when  those  already  in 
operation  have  become  too  far  separated  from  the  Army,  when  they 
are-  needed  to  supplement  the  services  of  more  advanced  hospitals, 
or  when  new  sites  will  be  more  convenient  to  handle  wounded. 

(&)  On  the  eve  of  battle  it  may  be  necessary  for  the  surgeon,  base 
group,  to  open  additional  base  hospitals  near  the  front  or  to  augment 
the  personnel  and  supplies  of  those  already  established  there. 

760.  The  personnel  allowed  a  base  hospital,  as  given  in  Tables  of 
Organization,  are  ordinarily  assigned  as  follows:  20  medical  officers, 

70156°— IS 15 


226  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.    ARMY, 

1  colonel  (commanding),  1  major  (operating  surgeon),  18  captains 
and  lieutenants  (1  adjutant,  1  quartermaster,  1  pathologist,  1  eye, 
ear,  nose,  and  throat  specialist,  2  assistant  operating  surgeons,  12 
ward  surgeons);  1  dental  surgeon;  8  sergeants  first  class  (1  general 
supervision,  1  in  charge  of  ofhce,  1  in  charge  of  quartermaster  sup- 
plies and  records,  1  in  charge  of  kitchen  and  mess,  1  in  charge  of 
detachment  and  detachment  accounts,  1  in  charge  of  patients' 
clothing  and  effects,  1  in  charge  of  medical  property  and  records, 
1  in  charge  of  dispensary);  16  sergeants  (1  in  dispensary,  2  in  store- 
rooms, 1  in  mess  and  kitchen,  4  in  office,  2  in  charge  of  police,  6  in 
charge  of  wards);  14  acting  cooks;  115  privates  fii*st  class  and  pri- 
vates (68  ward  attendants,  3  in  dispensary,  5  in  operating  room, 
1  in  laboratory,  14  in  kitchen  and  mess,  6  in  storerooms,  4.orderhes, 
5  in  office,  4  outside  pohce,  1  assistant  to  dentist,  4  supernumeraries) ; 
46  nurses,  female  ^  (1  chief  nurse,  1  assistant  to  chief  nurse,  41  in 
wards,  2  in  operating  room,  1  dietist) . 

761.  So  far  as  adaptable  the  regulations  for  genera)  hospitals  will 
govern  the  interior  administration  of  base  hospitals.  (See  pars.  283 
to  316.) 

762.  The  base  hospitals  are  designed  to  receive  patients  from  the 
field  and  evacuation  hospitals,  as  well  as  cases  originating  on  the  fine 
of  communications,  and  to  give  them  definitive  treatment.  They 
should  be  well  equipped  for  such  treatment  and  there  should  be  sent 
to  the  home  territory  only  those  patients  who  require  special  treat- 
ment or  whose  condition  is  such  that  they  may  be  regarded  as  either 
permanentl}'"  disabled  or  fikely  not  to  recover  within  a  reasonable 
time.  If,  however,  the  number  of  new  cases  from  the  front  is  taxing 
the  base  hospitals  beyond  their  capacity  or  the  facihties  thereof  are 
inadequate  from  any  cause  to  meet  the  demands  upon  them,  more 
extensive  evacuation  of  patients  must  be  effected.  On  the  eve  of 
battle  the  base  hospitals  near  the  front  should  be  cleared  as  far  as 
possible  to  make  room  for  new  patients. 

763.  Unless  otherwise  provided,  the  personnel,  supplies,  and  equip- 
ment for  the  evacuation  of  patients  from  advanced  base  hospitals  to 
the  rear  will  come  from  the  hospitals  receiving  them. 

764.  The  commanding  officer  of  the  hospital  will  indicate  under 
''Remarks"  in  his  daily  report  made  on  Form  83,  the  number  of  pa- 
tients who  require  transfer  so  that  arrangements  may  be  made  ac- 
cordingly. He  should  himself  supervise  the  selection  of  patients  for 
further  transfer  in  order  to  keep  down  to  the  lowest  possible  figure 
the  number  of  men  lost  to  the  Army. 

765.  Base  hospitals  ordered  to  close  will  dispose  of  their  patients 
as  directed  by  the  surgeon,  base  group. 

1  When  female  nurses  are  not  available,  additional  enlisted  men  ^vill  bo  assigned  in  their  stead. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY.  227 

THE  CONVALESCENT   CAMP. 

766.  Ill  appropriate  cases  convalescent  camps  may  be  established  in 
the  vicinity  of  base  hospitals.  Such  camps  will  be  branches  of  the 
base  hospital  near  which  they  are  situated. 

THE   C6NTAGIOUS   DISEASE  HOSPITAL. 

767.  Ordinaril}'  cases  of  infectious  disease  occurring  among  troops 
in  the  theater  of  operations  will  be  cared  for  in  the  isolation  wards  of 
base  or  other  hospitals  and  so  far  as  practicable  at  or  near  the  place  of 
origm  of  the  disease.  In  the  presence  of  a  serious  epidemic,  however, 
special  facilities  for  the  isolation  of  cases  may  be  required.  In  this 
event  the  surgeon,  base  group,  with  the  authority  of  the  commander 
of  the  hne  of  commimications,  will  organize  such  contagious  disease 
hospitals  as  may  be  necessary  to  meet  the  emergency. 

768.  No  definite  organization  for  these  hospitals  can  be  prescribed 
in  advance  of  their  estabhshment.  The  personnel  for  their  opera- 
tion will  be  procured  from  the  home  territory  or  provided  from  the 
line  of  communications  as  circumstances  may  warrant. 

TRAINS,   BOATS,   AND   SHIPS. 

769.  The  general  regulations  governmg  the  organization,  personnel, 
materiel,  and  operation  of  hospital  trains,  trains  for  patients,  hospital 
ships,  and  ships  for  patients  in  the  service  of  the  interior  will  apply 
also  to  the  sunilar  Medical  Department  units  on  the  Ime  of  communi- 
cations, except  that  the  duties  performed  by  the  Srrgeon  General  with 
respect  to  the  former  will  devolve  in  the  latter  case  upon  the  surgeon, 
base  group.     (See  pars.  613  and  619.) 

770.  As  hospital  trains  are  permanent  Medical  Department  units, 
when  their  organization  on  the  line  of  communications  is  necessary 
timely  measures  to  procure  the  prescribed  personnel  therefor  from 
home  territory  should  be  instituted.  Pendmg  the  arrival  of  such  per- 
sonnel the  medical  officers  and  Hospital  Corps  men  needed  to  operate 
the^se  trains  should  temporarily  be  drawn  from  other  Medical  Depart- 
ment units  on  the  line,  exclusive  of  the  evacuation  hospitals  and 
evacuation  ambulance  companies,  whose  personnel  should  under  no 
ordinary  circumstances  be  diminished. 

(a)  When  it  is  necessary  to  organize  trains  for  patients  they  may 
also  obtain  their  medical  personnel  temporarily  from  other  units  on 
the  line  of  communications  exclusive  of  the  evacuation  hospitals  and 
evacuation  ambulance  companies,  but  permanent  details  from  the 
service  of  the  interior  should  be  requested  for  their  continued 
operation. 

771.  General  arrangements  for  the  running  of  hospital  trains  and 
trams  for  patients  will  be  made  by  the  surgeon,  base  group,  with  the 


228  MANUAL    FOR    MEDICAL   DEPAETMEXT,    V.    S.    ARMY. 

officer  ill  charge  of  the  base.  Details  in  regard  to  the  loading  and 
unloading  of  patients  at  railway  stations  will  be  arranged  between 
the  officers  m  charge  of  such  stations  and  the  commanding  officers  of 
the  evacuation  ambulance  companies  or  hospitals  which  are  to 
transfer  or  receive  the  patients. 

772.  Circumstances  will  rarely  be  such  that  hospital  ships  will  be 
available  on  the  line  of  communications.  But  navigable  streams 
will  often  offer  opportunities  for  the  more  comfortable  and  expedi- 
tious transportation  of  the  sick  and  injured  than  can  be  had  by  land, 
and  the  surgeon,  base  group,  should  in  such  event  avail  himself  thereof 
by  organizing  the  necessary  boat  service.  The  personnel  and  sup- 
plies for  such  service  will  be  drawn  from  the  line  of  communications 
as  in  the  case  of  trains  for  patients. 

CASUAL  CAMPS   FOR   SANITARY  TROOPS. 

773.  These  camps  are  designed  for  the  reception,  shelter  and  con- 
trol of  Medical  Department  personnel  on  their  arrival  and  during  their 
stay  at  the  base  pendmg  assignment.  They  will,  with  the  approval 
of  the  commanding  officer  of  the  line  of  communications,  be  estab- 
lished by  the  surgeon,  base  group,  at  or  near  the  base.  They  will  be 
•under  the  immediate  command  in  each  case  of  the  senior  medical 
officer  on  duty  therein,  and  their  administration  will  be  governed  by 
general  military  prmciples. 

SANITARY   SQUADS. 

774.  For  the  purpose  of  giving  attention  to  sanitary  matters  not 
within  the  control  of  regimental  or  other  military  organizations, 
sanitary  squads  will  be  organized  on  the  line  of  communications  at 
such  places  as  may  be  necessary. 

776.  The  personnel  of  such  squads  will  consist  of  enlisted  men  of 
the  Hospital  Corps  augmented  by  such  number  of  other  enlisted 
men  and  civilian  laborers  as  the  amount  and  character  of  the  work 
may  justify.  Each  squad  will  be  in  immediate  charge  of  a  medical 
officer. 

776.  The  function  of  sanitary  squads  is  to  supervise  or  execute,  as 
the  case  may  be:  (1)  The  necessary  measures  for  the  sanitation  of 
camp  sites,  towns  or  villages  not  occupied  or  garrisoned,  or  of  such 
])arts  of  the  same  as  may  be  otherv-ise  unprovided  for;  (2)  sanitary 
work  that  may  be  necessary  for  the  general  welfare  but  that  can  not 
be  performed  conveniently  or  profitably  by  individual  organizations; 
(3)  the  operation  of  sanitary  apparatus  used  by  troops  in  common 
and  not  under  control  of  any  one  organization. 

777.  Sanitary  squads  will  not  be  employed  to  relieve  •regimental 
and  other  similar  organizations  of  the  duty  of  providmg  for  the  sani- 
tation of  their  own  camps. 


MANUAL   FOR    MEDICAL   DEPARTMENT^    U.    S.    ARMY.  229 

FIELD   LABORATORIES. 

778.  One  or  more  field  laboratories  will  be  established  on  the  line 
of  communications  where  most  convenient  for  the  work  to  be  accom- 
plished. A  suitable  buildmg  should  be  chosen  in  each  case,  prefer- 
ably in  a  town  provided  with  water  and  gas  supply. 

779.  The  technical  supplies  for  a  field  laboratoly  are  listed  in  para- 
graph 896.  Such  additional  equipment  will  be  supplied  as  the  sur- 
geon, base  group,  may  deem  necessary. 

REST   STATIONS. 

780.  Rest  stations  are  organized  for  the  purpose  of  giving  tem- 
porary care  and  treatment  to  sick  and  wounded  en  route.  When  on 
railway  lines  those  established  on  the  line  of  communications  are 
similar  in  every  way  to  those  pertaining  to  the  service  of  the  interior 
and  their  personnel  should,  if  practicable,  be  obtained  in  like  manner. 
(See  par.  618.) 

781.  In  exceptional  cases  the  distance  between  the  hospitals  in  the 
zone  of  the  advance  and  the  advance  section  of  the  Ime  of  communi- 
cations may  be  so  great  that  it  will  be  necessary  to  establish  rest 
stations  on  the  route  of  the  evacuation  ambulance  companies. 
Under  these  chcumstances  the  rest  stations  will  usually  be  of  a  tem- 
porary character  and  their  personnel  and  supplies  will  be  provided 
by  the  evacuation  ambulance  companies.  At  such  stations  provision 
should  be  made  for  temporary  but  comfortable  shelter,  nourishing 
food,  and  readjustment  of  dressings  or  other  treatment  necessar}^  to 
enable  the  patients  to  proceed  comfortably  to  their  destination. 

THE  BASE  MEDICAL  SUPPLY  DEPOT. 

782.  A  medical  suppl}"  depot  will  be  established  at  the  base.  The 
officer  m  charge  of  this  depot  will  prepare  in  quadruplicate  a  list  of 
all  supplies  requhed,  showmg  the  maximum  and  mmimum  quantities 
of  each  article  which  should  be  kept  on  hand  in  the  depot,  having  due 
regard  in  formulating  this  estimate  to  the  number  of  troops  to  be 
supplied,  the  time  requhed  by  the  depot  to  replenish  supplies,  the 
character  of  the  military  operations  m  prospect,  etc.  In  stating  the 
minimum  quantit}^  of  supplies  the  supply  officer  should  include  at 
least  one  medical  reserve  unit  (par.  891)  for  each  division  at  the 
front,  in  addition  to  the  supplies  likely  to  be  required  by  the  sanitary 
formations  on  the  line  of  communications.  Three  copies  of  the  above- 
mentioned  list  will  be  forwarded  through  military  channels  to  the 
commander  of  the  military  forces.  When  approved,  one  copy  will  be 
retained  at  the  headquarters  of  the  commander  of  the  field  forces, 
one  copy  will  be  sent  to  the  Surgeon  General,  and  one  copy  will  be 
returned  to  the  officer  in  charge  of  the  depot. 


230  MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

(a)  When  the  supply  on  hand  of  any  article  exceeds  or  falls  below 
the  specified  maximum  or  minimum,  the  fact  will  be  reported  in 
writing  to  the  commander  of  the  line  of  communications  and  to  the 
senior  medical  officer  on  the  staff  of  the  commander  of  the  field  forces, 
with  appropriate  explanatory  remarks. 

783.  Stock  to  replace  issues  from  these  depots  will  be  maintained 
without  formal  requisition.  (See  F.  S.  R.:  Zone  of  the  Advance, 
General.)  When  such  replenishment  is  desired,  single  copies  of  the 
invoices  on  which  supplies  were  issued,  stamped  "Replenishment 
requested,"  will  be  forwarded  direct  to  the  designated  source  of  sup- 
ply. Any  articles  shown  on  an  invoice  for  which  replenishment  is 
not  desired  will  be  erased  therefrom  before  the  invoice  is  stamped 
and  forwarded.  Invoices  stamped  and  forwarded  as  above  described 
will  be  acted  upon  as  if  they  were  approved  requisitions. 

784.  Requisitions  from  the  depot  for  otLer  than  the  replenishment 
of  issues,  if  within  the  limits  of  the  maximum  and  minimum  table, 
will  be  forwarded  in  duplicate  to  the  surgeon,  base  group.  He  will 
modify  them  at  his  discretion,  forward  one  copy  to  the  issuing 
depot  in  the  home  territory,  and  return  the  other  copy  to  the  base 
depot  with  his  modifications,  if  any,  noted  thereon. 

785.  Requisitions  for  supplies  not  provided  for  in  the  maximum 
and  minimum  table  require  the  approval  of  the  Surgeon  General. 

786.  In  emergencies  the  surgeon,  base  group,  may  authorize  local 
piu-chases  to  supply  the  immediate  needs  of  the  depots  on  the  line  of 
conmaunications.     (See  par.  819g.) 

THE  ADVANCE  MEDICAL   SUPPLY  DEPOT. 

787.  The  stock  on  hand  at  this  depot  will  be  considered  a  part  of 
the  available  supply  of  the  base  depot,  as  far  as  the  table  fixing  the 
maximum  and  minimum  stock  limits  is  concerned. 

788.  Maximum  and  minimum  limits  of  stock  to  be  mamtained  at 
this  depot  will  be  determmed  by  the  commander  of  the  line  of  com- 
munications on  recommendation  of  the  sm-geon,  base  group,  to  whom 
any  variation  of  stock  above  or  below  the  prescribed  limits  will  be 
reported  at  once  with  appropriate  explanatory  remarks.  In  making 
his  recommendations  the  surgeon,  base  group,  should  include  in  the 
minimum  quantity  of  supplies  to  be  maintained  at  this  depot  at 
least  one  medical  reserve  unit  (par.  891). 

789.  Issues  from  the  advance  depot  will  be  replenished  from  the 
base  depot  without  formal  requisition,  in  the  manner  provided  under 
base  supply  depots  (par.  783). 

790.  Requisitions  from  the  advance  depot  for  supplies  other  than 
those  required  to  replace  issues  will  be  fonvarded  in  duplicate  to  'the 
surgeon,  base  group.  He  will  modify  them  at  his  discretion,  send 
one  copy  to  the  base  supply  depot  for  issue,  and  return  the  other 
copy  to  the  writer  with  his  modifications,  if  any,  noted  thereon. 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  231 

791.  The  advance  depot  is  intended  as  a  source  of  supply  for 
troops  in  the  zone  of  the  advance,  and  it  should  not,  except  in  emer- 
gency, be  depleted  by  issues  to  evacuation  hospitals,  evacuation  am- 
bulance companies,  and  other  units  on  the  line  of  communications. 

792.  The  operations  of  this  depot  will  necessarily  be  controlled  by 
the  military  situation  in  the  zone  of  the  advance.  If  the  troops  are 
occupying  defensive  positions  with  little  probability  of  an  immediate 
advance,  the  depot  may  be  established  in  buildmgs,  if  they  are  avail- 
able,-or  under  canvas;  if  they  are  advancing,  the  depot  may  be  main- 
tained on  barges,  in  box  cars,  or  on  motor  trucks.  In  the  latter  case 
the  prescribed  stock  of  supplies  may  temporarily  have  to  be  reduced 
to  such  essentials  as  surgical  dressings,  medicines,  and  other  articles 
of  that  class.  In  determining  the  character  of  the  articles  that  may 
be  eliminated  under  these  circmnstances  much  will  depend  upon  the 
facility  with  which  supplies  can  be  obtained  from  the  base. 

THE  EVACUATION  HOSPITAL. 

(Capacity  432.) 

793.  The  evacuation  hospitals  are  Medical  Department  units 
belonging  to  the  line  of  communications.  Ordinarily  two  evacua- 
tion hospitals  will  be  assigned  to  a  line  of  communications  for  each 
division  which  it  serves  in  the  zone  of  the  advance.  They  will  be 
numbered  and  designated  like  the  base  hospitals  (par.  758). 

,  794.  The  personnel  of  an  evacuation  hospital  at  war  strength  as 
given  in  Tables  of  Organization  are  ojrdinarily  distributed  as  follows: 
16  medical  officers,  1  lieutenant  colonel  (commanding),  1  major 
(operating  surgeon),  14  captains  and  lieutenants  (1  adjutant,  1  quar- 
termaster, 2  assistant  operating  sm'geons,  10  ward  surgeons);  8  ser- 
geants first  class  (1  in  general  supervision,  1  in  charge  of  office,  1  in 
charge  of  quartermaster  supplies  and  records,  1  in  charge  of  kitchen 
and  mess,  1  in  charge  of  detachment  and  detachment  accounts,  1  in 
charge  of  patients'  clothing  and  effects,  1  in  charge  of  medical  prop- 
erty and  records,  1  in  charge  of  dispensary);  20  sergeants  (1  in  dis- 
pensary, 2  in  storerooms,  1  in  mess  and  kitchen,  4  in  office,  1  in  charge 
of  police,  10  in  charge  of  wards,  1  in  operating  room);  10  acting 
cooks;  141  privates  first  class  and  privates  (98  ward  attendants,  3 
in  dispensary,  5  in  operating  room,  10  in  kitchen  and  mess,  4  in 
storerooms,  4  orderHes,  5  in  office,  6  outside  police,  6  supernu- 
meraries). 

795.  The  primary  function  of  the  evacuation  hospital  is  to  replace 
field  hospitals  so  that  the  latter  may  move  with  their  divisions,  or  to 
take  over  their  patients  with  the  same  object  in  view.  So  far  as  it 
would  not  interfere  with  this  fimction  the  evacuation  hospital  may 
be  used  for  ordinary  hospital  purposes  on  the  line  of  communications. 

796.  An  evacuation  hospital  is  preferably  established  on  a  rail- 
way or  navigable  stream,  but  tliis  preference  must,  of  course,  yield 


232  MANUAL    FOR    MEDICAL    DEPARTMEXT^    U.    S.    ARMY. 

to  the  military  situation.  Care  should  be  taken  to  choose  a  site 
accessible  to  wheeled  transport  and  A\ath  an  a})undant  supply  of 
water  and  fuel.  When  suitable  buildings  are  available  they  will  be 
utilized. 

797.  The  places  where  evacuation  hospitals  are  to  be  established 
or  to  which  they  are  to  be  moved  will  be  determined  by  the  surgeon, 
advance  group,  imder  the  authority  of  his  commanding  officer. 

798.  Before  a  battle  all  evacuation  hospitals  will  be  brought  as 
far  forward  as  possible  and  will  remain  in  readiness  for  opening  or 
further  advance. 

799.  The  duties  of  an  evacuation  hospital  when  opened  are  similar 
to  those  of  a  field  hospital  in  combat  (par.  701)  and  corresponding 
departments  will  be  created  (par.  703). 

800.  The  character  of  the  surgical  treatment  to  be  given  to  woimded 
therein  mil  vary  widely  under  different  conditions.  When  during 
battle  many  Avounded  are  being  received  the  treatment  afforded  will 
hardly  be  more  extensive  than  that  at  field  hospitals,  viz,  emergency 
operations  and  better  preparation  for  transport.  When  few  wounded 
are  coming  in  and  there  is  no  probability  of  an  early  move,  complete 
treatment  may  be  given  even  during  battle. 

801.  Serious  cases  rec|uiring  protracted  treatment  and  all  patients 
permanently  incapacitated  should  be  sent  to  the  rear  from  evacua- 
tion hospitals  as  soon  as  their  condition  permits. 

(a)  Wlien  battle  is  expected  active  measures  of  evacuation  should 
be  employed  to  clear  the  evacuation  hospitals  in  use  so  that  they 
may  be  ready  for  movement  toward  the  front. 

(b)  During  battle  all  patients  in  evacuation  hospitals  who  are  fit 
for  transportation  should  be  hurried  to  the  rear  as  soon  as  possible 
to  make  room  for  new  cases  from  the  front.  It  will  rarely  be  possible 
for  evacuation  hospitals  to  send  slightl}^  womided  back  to  their 
organizations  during  combat,  but  every  opportunity  should  be  taken 
to  do  so  in  order  that  such  wounded  shall  not  become  further  sepa- 
rated from  their  commands. 

802.  The  necessary  transportation  for  moving  patients  to  the  rear 
from  evacuation  hospitals  will  be  provided  by  direction  of  the  com- 
manding officer  of  the  advance  section  of  the  line  of  communications. 

803.  The  commanding  officer  of  the  evacuation  hospital  will  indi- 
cate, under  "Remarks"  in  his  daily  report  made  on  Form  83,  the 
number  of  patients  who  require  transportation  to  the  rear. 

THE  EVACUATION  AMBULANCE  COMPANY. 

804.  Evacuation  ambulance  companies  are  organized  only  in 
time  of  war  or  when  war  is  imminent.  They  are  allowed  in  the 
proportion  of  one  for  each  division  at  the  front.  They  will  be  num- 
bered consecutively  from  1  upward  for  each  field  army  to  wliich  they 
belong,  as  "Evacuation  Ambulance  Company  No.  1,  3rd  Field  Army."' 


MANUAL   FOR   MEDICAL  DEPARTMENT,   V.    S.    ARMY.  233 

805.  The  commanding  officer  of  the  company  is  under  the  im- 
mediate orders  of  the  surgeon,  advance  group. 

806.  The  allowance  of  personnel  and  equipment  for  an  evacuation 
ambulance  company  will  be  that  provided  for  an  ambulance  company 
with  such  modifications  as  the  conditions  under  which  the  former  is 
serving  may  warrant.  Motor  ambulances  should,  if  practicable,  be 
substituted  for  horse-drawn  vehicles.  Ordinarily  pack  mules  will  not 
be  required,  and,  owing  to  the  fact  that  the  company  normally  oper- 
ates from  the  head  of  the  line  of  communications  where  there  is 
a  supply  depot,  the  quantity  of  reserve  surgical  dressings  provided 
for  the  ambulance  company  may  be  largely  reduced. 

807.  The  primary  function  of  the  evacuation  ambulance  company 
is  the  evacuation  of  field  hospitals  and  the  transportation  and  care 
of  patients  en  route  therefrom  to  evacuation,  base,  or  other  hospitals 
on  the  line  of  communications  or  to  points  with  train  or  boat  connec- 
tions for  rail  or  water  transport  to  such  hospitals. 

808.  On  the  march  the  company  will  be  brought  up  to  clear 
field  hospitals  of  patients  collected  by  the  latter  (par.  700),  and  to 
take  them  to  points  on  the  line  of  communications. 

809.  When  battle  is  soon  to  occur  it  will  usually  be  necessary  to 
greatly  increase  the  number  of  vehicles  and  bearers  of  the  company. 
This  increase  will  be  provided  by  the  officers  in  charge  of  the  advance 
section  on  the  recommendation  of  the  surgeon,  advance  group. 

810.  Just  before  a  battle  commences  all  evacuation  ambulance 
companies  should  be  located  as  far  in  advance  as  the  conditions 
permit. 

811.  At  the  proper  time  or  times  during  or  after  the  battle  each 
company,  under  instructions  given  therefor  by  the  surgeon,  advance 
group,  will  proceed  to  the  field  hospitals  which  it  is  to  evacuate,  will 
report  to  the  commanding  officers  thereof,  will  receive  the  patients 
who  are  to  go  to  the  rear,  and  in  due  course  will  deliver  them  to  the 
Medical  Department  organization  which  is  designated  for  their 
further  care. 

-  (a)  The  evacuation  ambulance  company  will  receive  and  provide  for 
all  patients  turned  over  to  it  by  a  field  hospital.  (wSee  also  par.  706.) 
(b)  It  will  also  receive  and  provide  for  the  slightly  w^ounded,  able 
to  walk,  who  report  to  it  by  proper  authority  from  the  dressing 
stations,  the  station  for  slightly  wounded,  or  other  places  on  the  field. 

812.  The  assignment  of  the  sick  and  wounded  to  the  various 
kinds  of  transport  (automobiles,  ambulances,  wagons,  country  carts, 
bearers,  etc.)  will  be  made  by  the  commanding  officer  of  the  com- 
pany according  to  their  condition.  In  doubtful  cases  the  authorities 
of  the  hospital  should  be  called  upon  for  necessary  information. 


234  MANUAL   FOR    MEDICAL  DEPARTMENT,   U.    S.    ARMY. 

ADMINISTRATION. 

813.  For  administration  and  control  the  line  of  communications  is 
organized  as  follows : 

(1)  A  service  of  defense. 

(2)  A  supply,  sanitary,  and  telegraph  service. 

(3)  A  service  of  military  railways. 

814.  The  commander  of  the  line  of  communications  is  responsible, 
under  existing  regulations,  for  the  defense  of  the  zone  and  for  the 
government  of  that  portion  of  the  zone  placed  under  military  control. 
All  troops,  military  establishments,  and  personnel  in  the  zone  of  the 
line  of  communications  are  under  his  control.  He  is  responsible 
that  the  reserve  of  supplies  on  hand  in  his  various  depots  shall  be 
maintained  between  the  maximum  and  minimum  amounts  fixed  by 
the  commander  of  the  field  forces. 

815.  All  personnel  pertaining  to  the  sanitary  service  of  the  line  of 
communications  report  at  the  base  for  assignment  to  duty.  Here 
advance  and  intermediate  sections  are  organized  and  sent  forward 
as  required. 

816.  Base,  mtermediate,  and  advance  sections  are  each  commanded 
directly  by  the  commander  of  the  line  of  communications  through 
an  assistant  chief  of  staff  authorized  to  issue  orders  in  his  name. 

817.  The  senior  medical  officer  assigned  to  duty  at  the  base  section 
of  the  line  of  communications  (surgeon,  base  group)  acts  in  a  dual 
capacity.  (1)  He  is  the  technical  adviser  of  the  commander  of  the 
line  of  communications  on  all  matters  relatmg  to  the  operation  of 
the  Medical  Department  within  the  zone  of  the  Ime  of  communica- 
tions. In  this  capacity  he  transacts  his  business  directly  with  the 
headquarters  of  the  line  of  communications.  (2)  He  acts  in  an  exec- 
utive capacity,  controlling  du-ectly  all  Medical  Department  estab- 
lishments pertaming  to  the  base.  In  this  relation  all  communications 
between  the  surgeon,  base  group,  and  the  commander  of  the  line  of 
communications  pass  through  the  officer  in  charge  of  the  base. 

818.  As  adviser  to  the  cormnander  of  the  line  of  communications 
the  duties  of  the  surgeon,  base  group,  and  the  relation  he  bears  to 
the  medical  personnel  in  the  zone  of  the  line  of  communications,  are 
analogous  to  those  of  a  department  surgeon,  and  he  will  be  governed 
by  the  regulations  for  the  latter  (see  pars.  364  to  370),  with  such 
modifications  as  the  different  conditions  demand.  To  the  extent  of 
his  authority  the  surgeon,  base  gi'oup,  is  responsible  for  the  efficiency 
of  the  entire  medical  service  of  the  line  of  communications,  and  for 
the  accomplishment  by  such  service  of  its  mission  as  outlined  in 
paragraph  754, 

819.  The  duties  of  the  surgeon,  base  gi'oup,  that  may  be  specifically 
stated  are  as  follows: 


MANUAL  FOB  MEDICAL  DEPARTMENT,   U.    S.    ARMY.  235 

(a)  He  will  direct  and  control  personnel  of  the  American  National 
Red  Cross  on  duty  with  the  line  of  communications. 

(b)  He  will  decide  whether  personal  service  individually  volun- 
teered shall  be  accepted  (par.  537) ;  and  when  accepted,  he  will  direct 
how  it  shall  be  employed. 

(c)  He  \vill  devise  appropriate  measures  for  the  shelter,  supply, 
treatment,  and  transport  of  the  sick  and  wounded,  including  suitable 
provisions  to  secure  the  retention  of  effectives  at  the  front  and  for 
the  sending  of  noneffectives  to  the  rear;  and  will  consult  with  the 
chief  of  staff  and  the  heads  of  other  staff  departments  m  reference 
to  the  details  of  such  measures. 

(d)  He  will  coordmate  the  Medical  Department  administration  of 
the  line  of  communications,  and  to  that  end  will  keep  continuously 
in  touch  with  the  surgeons  of  advance  and  intermediate  groups. 

(e)  He  will  communicate  with  the  Surgeon  General  regarding  med- 
ical arrangements  for  the  movement  of  patients  from  the  base  to 
home  territory  and  the  provision  of  Medical  Department  personnel 
and  supplies  from  the  home  territory  for  the  line  of  communications. 

(/)  He  will  act  on  requisitions  for  Medical  Department  supplies  as 
provided  in  paragraph  552. 

(g)  With  the  approval  of  the  Surgeon  General  he  may  give  author- 
ity for  the  purchase  in  local  markets  of  medical  supplies  immediately 
necessary  for  the  care  of  the  sick  and  wounded  and  the  prevention 
of  the  spread  of  disease. 

(h.)  With  the  approval  of  the  Surgeon  General  he  may  receive  vol- 
untary contributions  in  money  or  kind  for  the  benefit  of  the  sick  and 
wounded  and  he  may  expend  the  same  as  he  deems  fit. 

(i)  With  the  approval  of  the  Surgeon  General  he  may  make  con- 
tracts with  surgeons  and  employ  or  authorize  the  employment  of 
other  civilians  for  emergency  service  under  the  Medical  Department 
on  the  line  of  communications. 

(j)  When  battle  is  impending  he  will  take  such  steps  as  are  neces- 
sary to  insure  that  mobile  units  of  the  line  of  communications  are 
free  to  advance  when  required;  that  hospitals  are  cleared  for  new 
cases ;  that  sufficient  medical  supplies  are  collected  in  the  immediate 
rear  of  the  army  to  meet  the  exigencies  of  combat;  and  that  person- 
nel available  for  assistance  in  the  zone  of  the  advance  are  assembled 
and  held  in  readiness  as  far  forward  as  practicable. 

(k)  He  will  make  timely  recommendations  to  the  commander  of 
the  line  of  communications  regarding  transportation  required  for 
medical  supphes  and  for  patients. 

(Z)  He  will  render  to  the  chief  surgeon  of  the  field  army  the  consoh- 
dated  daily  field  report  of  sanitary  personnel  and  transportation  and 
the  consohdated  daily  field  report  of  patients  (Form  84)  and  the 
weekly  noneffective  curve  chart  (Form  85). 


236  :\IAKUAL   FOE    MEDICAL  DEPARTMENT,   TJ.    S.   ARMY. 

820.  Tlie  relations  of  the  senior  medical  officer  assigned  to  duty 
with  the  advance  section  (surgeon,  advance  group)  and  of  the  senior 
medical  officer  of  any  intermediate  section  that  may  be  established, 
to  the  surgeon,  base  group,  are  similar  to  those  of  post  surgeons  to 
department  surgeons. 

821.  The  surgeon,  advance  group,  under  the  supervision  of  the 
officer  in  charge  of  the  advance  section,  controls  directly  all  sanitary 
units  at  the  head  of  the  line  of  communications. 

822.  The  surgeon,  advance  group,  has  general  charge  of  the  trans- 
portation of  patients  from  the  field  hospitals  or  other  units  in  the 
zone  of  the  advance  to  the  evacuation  hospitals  or  other  places  on  tlie 
line  of  communications  prepared  for  their  reception. 

823.  During  or  after  battles  of  any  magnitude  the  transportation 
included  in  the  sanitary  column  will  usually  be  found  greatly  inade- 
({uate  for  the  evacuation  of  the  wounded.  It  will  be  the  dutj^  of  the 
surgeon,  advance  group,  to  anticipate  these  conditions  and  to  make 
timely  provision  for  obtaining  the  increased  transportation  neces- 
sarv.  Under  competent  authority,  vehicles  belonging  to  the  civihan 
population  may  be  impressed,  and  use  made  of  the  supply  column 
of  the  advance  section.  He  should  direct  the  operation  of  such  addi- 
tional transportation  until  the  emergency  is  past. 

824.  Under  all  circumstances  the  surgeon,  advance  group,  should 
maintain  close  touch  with  the  division  surgeons  and  medical  organ- 
izations at  the  front  and  make  suitable  arrangements  "to  refieve  them 
]>romptly  of  the  sick  and  wounded  left  behind. 

825.  When  battle  is  impending,  he  will  clear  his  evacuation  hospi- 
tals as  far  as  necessary,  so  that  room  may  be  available  for  wounded 
from  the  front;  he  will  assemble  near  the  front  his  evacuation  ambu- 
lance companies  and  one  or  more  evacuation  hospitals,  and  he  will 
advance  supplies  to  points  where  they  may  be  readily  available  for 
the  divisional  units. 

826.  One  of  the  most  important  duties  which  devolve  upon  all 
medical  officers  in  the  zone  of  the  line  of  commmiications  is  careful 
exercise  of  judgment  in  making  recommendations  regarding  the 
transfer  of  the  sick  and  wounded  to  the  home  territory  in  order  that 
liospitals  on  the  line  of  communications  may  not  be  burdened  with 
patients  wbo  are  permanently  disabled  and  that  soldiers  who  are 
likely  to  be  able  to  rejoin  their  conmiands  within  a  reasonable  time 
be  not  sent  too  far  to  the  rear. 

827.  The  duties  of  sanitary  inspectors  assigned  to  the  service  of 
the  line  of  communications  are  analogous  to  those  of  department 
sanitary  inspectors,  and  they  will  be  governed  b}"  the  regulations  for 
the  latter  (pars.  371  to  374)  M-ith  such  modifications  as  the  different 
conditions  demand. 


ARTICLE  XV.— ADMINISTRATION  OF  THE  SANI- 
TARY SERVICE  OF  THE  THEATER  OF  OPERA- 
TIONS.   

THE   CHIEF   SURGEON   OF  A  FIELD  ARMY. 

828.  The  chief  surgeon  of  a  field  army  belongs  to  the  technical 
and  administrative  group  of  the  staff  of  the  commander.  During 
the  period  of  grand  tactical  operations  when  a  line  of  communica- 
tions is  in  operation  the  chief  surgeon  is,  in  general,  an  advisory 
officer,  administering  directly  only  the  limited  personnel  of  the 
Medical  Department  attached  to  headquarters.  In  his  advisory 
capacity  he  concerns  himself  only  with  the  broad  principles  under- 
lying sanitary  administration.  His  recommendations  are  such  that, 
when  promulgated  by  the  commander,  the  details  of  the  sanitary 
service  will  be  left  to  subordinate  commanders.  Under  these  con- 
ditions the  chief  surgeon  maintains  no  office  of  record.  He  may, 
however,  direct  that  all  or  any  of  the  Medical  Department  reports 
from  the  zone  of  the  advance  pass  through  the  office  of  the  surgeon, 
base  group,  before  being  forwarded  to  the  War  Department,  in  order 
that  the  information  contained  therein  ma}^  be  tabulated  for  his  use 
or  that  the  reports  may  be  returned  for  correction. 

829.  Upon  the  completion  of  the  grand  tactical  operations  and 
upon  the  discontinuance  of  an  organized  line  of  communications, 
or  if  no  line  of  communications  has  been  organized,  he  assumes  a 
more  direct  control  of  such  Medical  Department  personnel,  depots, 
hospitals,  etc.,  as  the  War  Department  may  place  under  the  command 
of  the  ofiicer  upon  whose  staff  he  is  serving.  Under  these  circiun- 
stances  the  chief  surgeon  will  maintain  an  office  of  record  in  so  far 
as  he  is  assigned  the  duties  which  devolve  upon  the  surgeon,  base 
group,  when  a  line  of  communications,  is  operated. 

830.  The  duties  of  the  chief  surgeon  include  those  outhned  in 
paragraph  362.     He  is  specifically  charged  with  the  following: 

(a)  He  will  keep  the  Surgeon  General  advised  of  the  condition 
and  efficiency  of  the  sanitary  service  of  the  command. 

(6)  He  will  take  the  necessary  steps  to  insure  coordination  of 
the  sanitary  service  of  the  zone  of  the  advance  and  the  zone  of  the 
line  of  communications,  and  to  that  end  will  keep  contmually  in 
touch  with  the  division  surgeons  and  the  surgeon,  base  group. 

(c)  He  will  make  recommendations  relative  to  the  adequacy  of 
the  table  of  maximimi  and  minimum  supplies  to  be  maintained  in 
the  depots  on  the  line  of  communications.     (See  par.  782.) 

237 


ARTICLE  XVI.— RESUME  OF  THE  OPERATIONS  OF 
THE  SANITARY  SERVICE  IN  WAR. 


831.  Wlien  war  is  imminent,  the  Regular  Army  is  mobilized  at  its 
permanent  posts  or  stations  and  the  Organized  MiUtia  at  mobihza- 
tion  camps.  Little  is  required  of  the  Medical  Department  at  the 
time  of  mobihzation  in  connection  udth  the  preparation  of  organiza- 
tions of  the  Regular  Army  for  active  service.  Field  equipment  is 
maintained  at  designated  stations  or  depots  in  readiness  for  service 
at  all  times;  the  men  of  the  Hospital  Corps  available  for  servace  wdth 
line  organizations  and  with  the  sanitary  train  are  designated  in 
time  of  peace  and  are  in  readiness  to  join  their  respective  units.  The 
men  composing  the  hne  organizations  have  been  given  thorough 
physical  examinations  which  have  been  made  of  record,  and  they 
have  been  vaccinated  against  smallpox  and  typhoid  fever.  Each 
man  is  equipped  Avith  a  first-aid  packet  and  has  been  instructed  in 
its  use.  So  far  as  the  Medical  Department  is  concerned,  therefore, 
these  troops  should  be  in  readiness  to  proceed  from  their  points  of 
mobihzation  to  the  camps  of  concentration  on  short  notice. 

832.  Mobihzation  camps  for  the  Organized  Mihtia  are  provided 
in  each  State.  An  officer  of  the  Regular  Army  commands  each 
camp  and  has  on  his  staff  a  camp  surgeon,  usually  a  medical  officer 
of  the  Regular  Army.  Mobilization  camps  are  operated  under  tHe 
control  of  department  commanders,  who  are  responsible  for  the 
complete  preparation  and  equipment  of  the  troops  which  assemble 
there.  The  work  of  the  Medical  Department  at  these  camps  is  super- 
vised by  the  department  surgeon  and  the  sanitary  inspector  of  the 
department.  The  camp  surgeon  is  provided  vnih  an  adequate  corps 
of  assistants.  Physical  examinations  of  troops  mobilized  are  made 
and  recorded  in  accordance  with  specific  instructions  from  the  War 
Department.  Vaccinations  against  smallpox  and  typhoid  fever  are 
administered  and  records  made  thereof.  Individuals  and  organiza- 
tions are  furnished  such  portions  of  their  equipment  as  pertain  to  the 
Medical  Department;  and  such  training  in  sanitary  matters  is  given 
both  the  lino  troops  and  the  sanitary  troops  as  is  possible,  and  appro- 
priate to  each  (par.  594).  When  for  any  reason  it  is  impracticable  to 
fuUy  prepare  individuals  and  organizations  for  service  at  the  front, 
so  far  as  this  preparation  devolves  upon  the  Medical  Department, 
the  camp  surgeon  wiU  furnish  a  full  report  to  the  department  surgeon 
showing  what  remains  to  be  done  in  order  that  the  latter  may  take 

238 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY.  239 

the  necessary  steps  to  have  the  preparation  of  such  mdividuals  and 
organizations  completed  at  the  camp  of  concentration. 

833.  After  mobihzation,  equipment,  and  prehminary  training, 
the  troops  are  assembled  at  concentration  camps  for  immediate  use 
against  the  enemy  or  for  transport  to  an  ovei-sea  theater  of  opera- 
tions. At  camps  of  concentration  the  general  instruction  and  traui- 
ing  of  the  line  and  sanitary  troops  in  connection  with  the  work  of  the 
sanitary  service  is  conducted  under  the  direction  of  the  camp  surgeon. 

834.  On  leaving  camps  of  concentration,  troops  pass  from  the  service 
of  the  interior  to  the  theater  of  operations,  where  they  come  under 
the  control  of  the  commander  of  the  field  forces.  They  may  pass 
dixectly  into  the  zone  of  the  advance  or  they  may  traverse  the  zone 
of  the  line  of  communications  before  reaching  the  zone  of  the  advance, 
or  they  may  be  assigned  to  duty  on  the  line  of  communications. 
In  the  latter  case  they  may  be  assigned  either  to  the  service  of  defense, 
to  the  supply,  sanitary,  and  telegraph  service,  or  to  the  service  of 
military  railways.  The  relations  and  duties  of  the  sanitary  personnel 
in  this  zone  are  described  in  paragraphs  751  to  827. 

836.  The  sanitary  service  of  the  zone  of  the  advance  is  treated  in 
detail  in  paragraphs  630  to  750.  The  purpose  of  the  service  in 
camp,  on  the  march,  and  in  combat  is  to  render  temporary  aid  to  the 
sick  and  wounded  and  to  expedite  their  transportation  to  the  rear, 
always  making  such  disposition  as  will  secure  the  retention  at  the 
front  of  aU  men  fit  for  duty  and  reUeve  the  fighting  force  of  the 
impediment  incident  to  the  presence  of  men  incapacitated  for  duty. 
To  that  end  the  service  of  the  advance  is  assisted  by  the  service  of 
the  line  of  communications,  if  one  has  been  organized;  otherwise, 
directly  by  the  service  of  the  interior.  In  either  event  it  cooperates 
with  the  advance  station  of  the  service  in  its  immediate  rear.  When 
battle  is  imminent,  the  resources  of  the  sanitary  service  behind  the 
zone  of  the  advance  are  placed  in  readiness  to  meet  the  demands  for 
the  care  and  transportation  of  the  wounded  which  may  reasonably  be 
expected,  and  personnel  and  supplies  are  advanced  as  near  the 
seat  of  operations  as  practicable,  reaching  forward  into  the  zone  of 
the  advance  if  conditions  warrant  it. 

836.  The  troops  engaged  in  combat  are  accompanied  by  medical 
officers  and  Hospital  Corps  attendants;  ordinarily  a  medical  officer 
with  a  detachment  of  Hospital  Corps  men  accompanies  each  bat- 
talion into  combat,  and  the  surgeon  of  each  regiment  with  the  equip- 
ment carried  on  a  pack  mule  (par.  866)  estabhshes  an  aid  station. 
The  wounded  apply  their  own  first-aid  di'essings,  if  practicable,  and 
the  sanitary  personnel  attached  to  organizations  render  first  aid  as 
soon  as  possible.  The  sanitary  personnel  with  each  battalion 
coUect  the  wounded  in  groups  and  transport  those  who  are  unable 
to  walk  to  the  regimental  aid  station.    Men  with  trivial  wounds  are 


240  MANUAL  FOE    MEDICAL   DEPARTMENT^   U.    S,    ARMY. 

sent  back  to  their  commands  when  their  wounds  are  dressed,  and 
those  shghtly  woiinded  but  able  to  walk  are  directed  to  the  station 
for  shghtly  wounded  several  miles  in  the  rear,  in  order  that  dressing 
stations  and  field  hospitals  may  not  be  unnecessaril}^  congested  by 
the  presence  of  this  class  of  men. 

837.  At  the  aid  stations  the  sanitary  service  with  troops  connects 
with  the  service  of  the  sanitary  train.  Each  ambulance  company 
establishes  a  dressing  station  in  a  protected  location,  usually  some 
distance  in  rear  of  the  aid  station.  The  dressing  stations  send  for- 
ward bearers  to  remove  the  wounded  who  have  been  brought  hi  to 
the  aid  stations.  At  the  dressing  stations  light  nourishment  is  pro- 
vided, dressings  are  examined  and  adjusted  or  reapplied,  as  conditions 
may  requh-e,  and  the  patients  who  requu'e  transportation  are  made 
as  comfortable  as  possible  until  it  is  practicable  to  transport  them 
to  the  rear,  usually  to  the  field  hospitals.  Whenever  possible  the 
dressing  stations  are  so  located  that  they  can  be  reached  b}^  wheel 
transportation,  and  the  wounded  are  sent  to  the  field  hospitals  in 
ambulances. 

838.  The  field  hospitals  do  not  perform  the  functions  of  civil  hos- 
]utals  or  of  base  or  general  hospitals,  in  that  then-  equipment  is 
limited  to  those  things  necessary  to  provide  shelter,  nourishment, 
and  emergency  treatment  for  patients  until  they  can  be  transferred 
to  the  immobile  units  at  the  rear.  At  the  field  hospitals  no  beds  or 
cots  are  provided.  The  patients  are  placed  on  straw  over  which 
blankets  are  spread.  The  service  of  the  zone  of  the  advance  con- 
trolled by  the  division  surgeon  terminates  with  the  field  hospitals. 
The  units  of  the  line  of  communications  pushed  forward  into  the 
zone  of  the  advance  (par.  825)  relieve  the  field  hospitals  of  their  sick 
and  wounded  as  rapidly  as  possible. 

839.  One  of  the  evacuation  hospitals  held  m  readiness  at  the  head 
of  the  line  of  communications  will  ordinaril}^  receive  the  patients 
from  the  field  hospitals.  In  some  cases  an  evacuation  hospital  is 
l)ushed  forward  and  takes  charge  of  the  patients  at  the  location  of  the 
field  hospital ;  m  other  cases  transportation  from  the  advance  section 
of  the  line  of  communications  is  sent  forward  to  th  field  hospital  to 
receive  the  patients,  and  in  many  cases  the  wagons  going  to  the  rear 
for  supplies  will  transport  the  patients  back  to  the  refilling  point 
where  they  will  be  turned  over  to  the  wagons  sent  forward  from  the 
advance  section.  The  evacuation  hospital  is  the  fu'st  sanitary  unit 
in  which  provision  is  made  to  retain  patients  for  any  length  of  time. 
It  is  equipped  with  cots,  blankets,  and  a  liberal  supply  of  comforts 
for  the  sick,  but  ordinarily  the  evacuation  hospitals  will  be  cleared 
of  patients  as  early  as  practicable  in  order  that  they  may  be  ready 
to  rofoive  others  from  the  fi-ont.  The  patients  are  usually  sent  back 
by  trains  or  boats  to  the  base  hospitals  where  all  possible  comforts 


MANUAL  FOR   MEDICAL   DEPARTMENT,   U.    S,   ARMY.  241 

and  facilities  for  their  care  are  provided.  All  sick  ami  wounded  who 
will  be  able  to  return  to  duty  withm  a  reasonable  time  will  be  retained 
in  these  hospitals  rather  than  turned  over  to  the  service  of  the  inte- 
rior. Patients  who  no  longer  need  medical  attention  are  placed  in 
convenient  camps  operated  in  connection  with  the  base  hospitals  until 
they  regain  sufficient  strength  to  return  to  their  commands.  Tlie 
base  is  the  great  center  of  medical  activity  of  an  army.  Personnel 
and  supplies  intended  for  the  ^\j'my  are  accumulated  here  and  sent 
forward  as  required.  The  sick  and  wounded  are  sent  back  to  the 
base  and  cared  for.  Kecords  of  both  supplies  and  personnel  are  kept 
at  the  base,  and  such  abstracts  and  tabulations  as  the  chief  surgeon  of 
the  field  arm}^  maj^  requhe  from  time  to  time  are  made  here  and  sup- 
plied to  him. 

840.  The  losses  at  the  front  are  bemg  constantly  replaced  by  men 
sent  forward  through  the  channels  above  described.  New  recruits 
are  sent  to  the  mobilization  camps  where  they  are  equipped  and  drilled 
and  pushed  forward  to  meet  the  demands  in  the  zone  of  the  advance. 

841.  Supplies  furnished  b}'  the  Medical  Department  for  troops  at 
the  front  are  ordinarily  obtained  from  the  supply  depot  at  the  head 
of  the  line  of  communications  on  requisitions  approved  by  the  divi- 
sion surgeon.  Each  sanitary  formation  may  make  its  own  requisition, 
and  its  supplies  may  be  sent  forward  from' the  advance  section  to  the 
refilling  pomts  where  the  transportation  furnished  b}-  the  line  of  com- 
munications turns  over  the  supplies  to  the  transportation  sent  back 
from  the  divisional  organizations.  The  stream  of  supplies  coming 
forward,^  consisting  of  rations,  clothing,  and  ammunition,  is  constant, 
and  ample  opportunity  is  afforded  to  bring  up  the  articles  required 
by  the  sanitary  service  with  the  other  supplies.  When  found  to  be 
more  convenient  the  regimental  sanitary  supplies  may  be  replenished 
from  camp  mfii-maries  or  from  the  supplies  carried  by  ambulance  com- 
panies, these  latter  making  requisitions  for  the  supplies  which  they 
require.  The  supply  depot  at  the  advance  section  draws  its  supplies 
from  the  depot  at  the  base,  the  stock  of  which  is  automatically  main- 
tained by  the  service  of  the  interior. 

70156°— IS 16 


PART  III. 
SUPPLY  TABLES. 

[The  names  of  expendable  articles  are  printed  in  roman  type,  and  nonexpendable  in  italic] 


243 


ARTICLE  XVII.— POST  SUPPLY  TABLES. 


842.  In  computing  the  official  population  entitled  to  medicines  at 
a  station  tlie  nearest  round  number  in  the  supply  table  is  to  be  taken 
and  requisitions  made  accordingly.  If  a  ]:)Ost  contains  a  population 
of  more  than  1,000,  the  requisition  should  call  for  the  allowance  of 
expendable  articles  for  1,000  plus  that  for  the  excess  over  1,000. 
Ai-ticles furnished  to  dental  surgeons  under  the  provisions  of  para- 
graph 491  are  indicated  by  an  asterisk  (*)  before  each  item. 

843.    MEDICINES,  ANTISEPTICS,  AND  DISINFECTANTS. 


Article. 1 


Acacia,  powder,  1  poimd,  in  wide-mouth  bottle bottles. 

Acetaiiilidum,  i  pound,  in  wide-mouth  bottle do. . . 

Acidiun  aceticum,  i  pound,  in  glass-stopper  l)Ottle do. . . 

Acidum  boricum,  powder,  i  pound,  in  wide-mouth  bottle. -do... 

Acidum  citricum,  4  pound,  in  wide-mo vith  bottle do . . . 

Acidum  hydrochloricum,  4  pound,  in  glass-stopper  bottle. .  .do. . . 

Acidum  nitricum,  J  pound,  in  gla«-stopper  bottle '^°" ' 

Acidum  oxalicum.for  surgical  use,  h  pound,  in  wide-mouth  bot- 
tle  -■ -" bottles. 

Acidum  sallcy Ileum.,  3  ounces,  in  wide-mouth  bottle do. . . 

*Acidum  sulphuricum,  i  pound,  in  glass-stopper  bottle do. . . 

-'Vcidum  sulphuricum  aromaticum,  ^  pound,  in  glass-stopper  bot- 
tle  bottles. 

*Acidiimtamiicum, powder,  3  ounces, in  wide-mouth  bottle.. do... 

Acidum  tartariemn,  i  pound,  in  wide-mouth  bottle a^"' 

-Vdeps  lanae  hydrosus,  J  pound,  in  wide-mouth  bottle do. . . 

♦Adrenalin  chlorid,  1-mgm.  tablets,  20  in  tube tubes. 

Aether,  \  pound,  in  tin tins. 

*Aethylis  chloridum,  3  ounces,  in  metal  tube tubes. 

♦Alcohol,  5  gallons,  in  bottle. bottles. 

Alcohol,  denatured.    (See  par.  845.) 

Aloe,  powder,  1  ounce,  in  bottle Ao... 

Alumen,  powder,  4  poimd,  in  wide-mouth  bottle do. . . 

Ammonii  bromidnm,  h  poimd,  in  wide-mouth  bottle do. . . 

Ammonii  carbonas,  lumps,  4  pound,  in  \\'lde-mouth  bottle,  .do. . . 

Ammonii  chloridum,  i  pound,  in  wide-mouth  bottle do. . . 

Amylis  nitris,  5-drop  spirets,  12  in  box-. boxes. 

Antimonii  et  potassii  tartras,  i  oimce,  in  bottle bottles. 

Apomorphinae  hydrochloridum,  6-mRm.  hypodermic  tablets,  20 
in  tube ". tubes. 

Aqua  ammoniae,  10  per  cent,  1  pound,  in  glass-stopper  bot- 
tle  bottles. 

*Aqua  hydrogenii  dioxidi,  1  pound,  in  bottle,^  as  required —  do. . . 

*Argenti  nitras,  crystals,  1  ounce,  in  bottle do . . . 

Argenti  nitras fusus,  1  ounce,  in  bottle do. . . 

Argyrol  (or  equivalent),  1  ounce,  in  bottle do... 

Arseni  trioxidum,  1-mgm.  tablets,  250  in  bottle do. . . 

Asafoetida,  }  ounce,  in  bottle do... 

Aspirin,  1  oimce,  in  bottle do... 

Atropinae  sulphas,  >  oimce,  in  bottle do... 

Atropinae  sulphas,  0.65-mgm.  hypodermic  tablets,  20  in  tube, 
tubes 


.'Vllowance  for  1  year  for  po.sts  having 
pfTicial  population  of— 


100       200       400    :    600       800      1,000 


2 

4 
8 
2 

20 
1 


16 


4 
3 

10 
5 

R 

105 

11 

7 

2 
6 
3 
4 
14 
2 
2 


1  Oflicial  drugs  appear  under  their  T.atin  designations  as  given 
while  nonofficial  articles  are  listed  bv  their  English  names. 

2  To  be  asked  for  as  needed,  on  accoimt  of  rapid  deterioration. 


2  i        3  4  5  6 

in  the  United  States  Pharmacopoeia^ 

245 


246  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

Medicines,  antiseptics,  and  disinfectants — Continued. 


Article. 


Allowance  for  1  year  for  posts  having 
official  population  of— 


100 


200 


400 


600   I    800     1,000 


Atropinae  sulphas,  0.13-mgm.  ophthalmic  disks,  50  in  tube. -tubes.. 
Balsamuin  I'eruvianum,  i  pound,  in  wide-mouth  bottle,  .bottles. . 

Balsamum  tolutanum,  i  pound,  in  wide-mouth  bottle do 

Bismuthi  subgallas,  4  pound,  in  wide-mouth  bottle do 

Bismuthi  subnitras,  |  pound,  in  wide-mouth  bottle do 

Cafleina  citrata,  i  ounce,  in  bottle do 

Calx  clilorLaata  (chlorinated  lime),  1  pound,  in  zinc  container,i  as 

required pounds.. 

Camphora,  powder,  i  pound,  in  wide-mouth  bottle bottles. . 

Capsicum,  powder,  f  ounce,  in  bottle do 

Cera  flava,  m  i-pound  cake cakes. . 

Chloraliun  hydratum,  1  ounce,  in  glass-stopper  bottle bottles. . 

*Chloroformiim,  i  pound,  in  tin tins. . 

Chrysarobinum,  i  ounce,  in  bottle bottles. . 

*CocainaehydrochIoridum,  J  ounce,  in  wide-mouth  bottle,  .do 

*Cocainae  tiydrochloridum,  10-mgm.  hypodermic  tablets,  20  in 

tube " tubes. . 

Codcinae  sulphas,  1  ounce,  in  bottle bottles. . 

*Collodium,  1  ounce,  in  bottle do 

Copaiba,  J  pound,  in  wide-mouth  bottle do 

Creosotum,  1  Ounce,  in  glass-stopper  bottle do 

*Crcsol,  1  pound,  in  bottle .' do 

Creta  preparata,  §  pound,  in  wide-mouth  bottle do 

Cupri  sulphas,  1  ounce,  in  bottle do 

Digitaliniun,  1-mgm.  hypodermic  tablets,  20  in  tube tubes. . 

*Emetinae  hydrochloridum,  22-mgni.  hypodermic  tablets,  20  in 

tube,  as  required tubes. . 

Emplastrum  belladormae,  2  yards  by  6  inches,  in  tin tins. . 

Emplastnun  cantharidis,  1  yard  by  6  inches,  in  tin do 

Emplastrum  sinapis,  4  yards  by  6  inches,  in  tin do 

Eucainae  hydrochloridum-B,  1  ounce,  in  bottle bottles. , 

Eucalyptol,  1  ounce,  in  bottle do 

Extractum  belladonnae  foliorum,  1  ounce,  in  bottle do 

Extractum  glycyrrhizae  purum,  \  pound,  in  jar jars. . 

Extractum  byoscyami,  1  ounce,  in  bottle bottles. 

Extractum  rhamhl  purshianae,  130-mgm.  tablets,  250  in  bottle, 

bottles 


Ferri  et  quininae  cltras  solubUis,  3  ounces,  in  wide-mouth  bottle, 
bottles 


Ferri  phosphas  solubilis,  1  poimd,  in  bottle bottles. .         2 

Ferri  sulphas  exsiccatus,  i  pound,  in  \vide-mouth  bottle do 1 

Fluidextractum  oolchici  seminis,  1  oimce,  in  bottle do 1 

Fluidextractum  ergotae,  J  pound,  in  bottle do 1 

Fluidextractum  ipecacuanhac,  J  pound,  in  bottle do 1 

Fluidextractum  pruni  virginianac,  1  pound,  in  bottle do 1 

Fluidextractum  ziagiberis,  i  pound,  m  bottle do 2 

Foot  powder  (par.  902),  i  pound,  in  tin  with  perforated  cover,2  as 

required tins. . 

♦Glycerinum,  1  pound,  in  bottle bottles.  . 

Guaiacolis  carbonas,  ^  pound,  in  bottle do 

Hc.xamcthylcnamiaa  (Urotropin),  1  ounce,  in  bottle do 

Homatropinae  hydrobromidum,  15  grains,  in  bottle do 

Hydrargyrichloridumcorrosivum,  3  ounces,  in  bottle do 

Hydrargyri  chloridum  corrosivum  (commercial),  1  pound,  in 

bottle bottles . . 

Hydrargj^ri chloridum  corrosiviun,  tablets  (antiseptic)  (par.  902), 

250  in  wide-mouth  bottle bottles. . 

Hydrargyri  chloridum  mite,  32-ragni.  tablets,  250  in  bottle,  .do 

Hydrargyri  chloridum  mite,  0.5-mgm.  tablets,  250  in  bottle.,  do 

HydrargjM'i  chloridum  mite,  2  ounces,  in  bottle do 

Hydrargyriiodidura  flavum,  lO-mgin.  tablets,  250  in  bottle  .do 

Hydrargyri oxidumfla\aim,  1  ounce,  in  bottle do 

Hydrargyri  salicylas,  1  ounce,  in  bottle do 

Hyosc  inae  hydrobromidum,  0.65-mgm.  hypodermic  tablets,  20  in 

tube tubes. . 

Tchthyolum,  3  ounces,  in  wide-mouth  bottle bottles. . 

lodurii,  1  ounce,  in  glass-stopper  bottle do 

Ipecacuanha,  powder,  3  ounces,  in  wide-mouth  bottle do 

Liquor  cresolis  compositus,  1  quart,  in  bottle do 

•  On  account  of  the  rapid  deterioration  which  chlorinated  lime  undergoes 
anticipation  of  actual  needs. 

2  Allowed  on  basis  of  one  can  for  each  enlisted  man  of  oiganizations  of  foot 
of  General  Orders.    (See  Appendix:  Feet.) 


it  should  be  asked  for  only  In 

troops  to  ciirrv  ni!t  provisions 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

Medicines,  antiseptics,  and  disin/ectants — Continued. 


247 


Article. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800     J, 000 


10 


*I.iqnor  formaklehydi  (37i  per  rent),  1  quart,  in  bottle  ».  .bottles. . 

Liquor  formaldehydi  (37J  per  cent),  5  gallons,  in  jug  ' jugs. . 

Liquor  potassu  arsenites^J  pound,  m  bottle bottles. . 

Lithii  citras  effervescens,  324-mgnj.  tablets,  25  in  bottle do 

Lyopodium,  3  ounces,  in  \vide-mouth  bottle do — 

Magncsii  carbonas,   powder,   2  ounces,  in  wide-mouth  bottle, 

bottles 

Magncsii  sulphis,  4  pounds,  in  tin - .  .tins. . 

Massa  hydrargyri,  3  ounces,  in  wide-mouth  bottles bottles . . 

Menthol,  1  ounce,  in  wide-mouth  bottle do — 

Methylis  sahcylas  (oil  of  wintergreen  ,synthetic),  1  ounce,  in  glass- 
stopper  bottle bottles. . 

Morp'hinae  sulphas,  powder,  t^  oimce,  in  bottle do 

*Morpliinae   sulphas,    8-mgm.  h3rpodermie   tablets,    20  in   tube 

tubes ' 

Naphthalenum pounds. . 

Neosalvarsan,  900  mgms.,  in  tube,  as  required tubes. . 

Nitroglycerin,  0.G5-mgra.  hjT)odermic  tablets,  20  in  tube do — 

*Normal  saline  solution  tablets  (par.  902),  100  in  wide-mouth 

bottle bottles. . 

.  Oleoresina  asnidii,  1  ounce;  in  bottle do — 

Oleum  aurantii  corticis,  1  ounce,  in  bottle do — 

Oleum  caryophylii,  1  oimce,  in  glass-stopper  bottle do... 

Oleum  gossyi^u  semlnls,  1  quart,  in  bottle do — 

Oleum  menthae  piperitae.  1  oun?e,  in  glass-stopper  bottle. .  .do — 

Oleum  morrhuae,  1  pound,  in  bottle do. . . 

Oleum  ricini,  1  quart,  in  bottle do. . . 

Oleum  santali,  1  ounce,  in  glass-stopper  bottle do . . . 

Oleum  terebinthlnae  rectiflcatum,  1  quart,  in  bottle do. . . 

Oleum  theobromatis,  i  pound,  in  wide-mouth  bottle do. . . 

Oleum  tiglii,  1  ounce,  in  bottle do. . . 

Opiipulvis,  2  ounces,  in  wido-mouth  bottle do... 

Pepsinum,  3  oim>"es,  in  wide-mouth  bottles do... 

Peptonizing  tablets  (par.  902),  125  in  wide-mouth  bottle do. . . 

Petrolatum,  3  pounds,  in  tin tins. 

Petrolatum  liquidum,  1  pound,  in  bottle bottles. 

*Phenol,  1  pound,  in  bottle do 

Phonolphthalem,  130-mgm.  tablets,  250  in  bottle do 

Phenylis  sahcylas  (Saloi),  3  ounces,  in  wide-mouth  bottle. .  .do 

Physostigminae  sulphas,  0.0325-mgm.  ophthalmic  disks,  50  in 

tiibe tubes. . 

Pilocarpinao  hydrochloridum,  8-mgm.  hypodermic  tablets,  20  in 

tube tubes. . 

Pilulaa    aloini    compositae    (or    tablets)    (par.    902),    250    in 

bottle bottles. . 

Pilulae  catharticae  compositae  (or  tablets),'  400  in  bottle do 

Pilulae   copaibae   compositae    (or   tablets)    (par.    902),    250   in 

bottle bottles. . 

Pilulae  ferri  compositae  (or  tablets)  (par.  902),  80 in  bottle,  .do 

Plumbi  acetas,  6  ounces,  in  wide-mouth  bottle do 

Potassii  acetas,  6  ounces,  in  wide-mouth  bottle do 

Potassti  bicarbonas,  1  pound,  ia  wide-mouth  bottle do 

Potassii  bromidum,  1  poimd,  in  wide-mouth  bottle do — 

Potassii  chloras,  powder,  1  pound,  in  wido-mouth  bottle do 

Potassii  cliloras,  324-mgm.  tablets,  250  in  bottle do 

Potassii  et  sodd  tartras,  3  pounds,  in  tin tins. . 

Potassu  hydroxidum,  1  ounce.  In  glass-stopper  bottle bottles. . 

Potassii  io'didum,  ^  poimd,  in  wide-mouth  bottle do — 

Potassii  permansanas,  1  pound,  in  wide-mouth  bottle  i do — 

Protargol  (or  equivalent),  1  ounce,  in  bottle do — 

Pulvls  glyc3Trliizae  compositus,  J  pound,  in  wide-mouth  bot- 
tle   bottles  - . 

Pulvls  ipecacuanhae  et  opii,  J  poimd,  in  wide-mouth  bottle,  -do  — 
Quininao  hydrochlorosulphas,  32-mgm.  hypodermic  tablets,  20  in 

tube tubes. . 

Quininae  sulphas,  crystals,  1  ounce,  in  wide-mouth  bottle,  -bottles. . 
Quininae  sulphas,  200-mgm.  tablets,  600  in  wide-mouth  bot- 
tle   ; bottles. .  - 

Eesina  podophyili,  i  ounce,  in  bottle do 

Eheum^  powder,  2  ounces,  in  wide-mouth  bottle do 

Sa3charum  lactis,  powder,  3  ounces.  In  wide-mouth  bottle,  -do 

I  For  generating  formaldehyde  gas,  1  pint  formaldehyde  solution,  1  pound  potassium  permanganate, 
and  '.  pint  water  should  be  mi.xed  In  a  deep  contamer  (e.  g.,  a  close  stool).  This  quantity  is  adequate  for 
1,000'cubic  feet  of  air  space. 


248  MANUAL   FOE    MEDICAL  DEPARTMENT,   IJ.    S.   ARMY. 

Medicines,  afitiseptics,  and  disinfectants. 


Article. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100   ,   200 


600 


800     1,000 


Salvarsan,  600-mgms.  in  tubes,  as  required tubes. . 

Santoninum,  32-mgm.  tablets,  2o0  in  bottle bottles. . 

Sapo  mollis  (green  soap),  1  pound,  in  jar jars. . 

Serum  antidiphthcricum  i 

Serum  antimeningitidis  i 

Serum  antitetanicum  i 

Sodii  bicarbonas,  1  poimd.  in  vride-mouth  bottle bottles . . 

Sodii  bicarbonas  et  meniha  piperita,  tablets  (par.  902),  400  in 

bottle bottles. . 

Sodii  boras,  powder,  1  pound,  in  wide- mouth  bottle do 

Sodii  bromidum,  6  oimces,  in  wide-mouth  bottle do 

*Sodii  carbonas  monohydi'atus,  for  surgical  use,  1  pound,  in  isidc- 

mouth  bottle bottles. . 

Sodii  fluoridum,  5  pounds,  in  package .packages. . 

Sodii  phosphas  exsiccatus,  powder,  3  ounces,  in  wide-mouth 

bottle bottles . . 

Sodii  sahcylas,  6  ounces,  in  wide-mouth  bottle do 

Spiritus  aetheris  corapositus,  §  pound,  in  glass-stopper  bottle. do'. . . . 

Spiritus  aetheris  nitrosi,  ^  poimd,  in  glass-stopper  bottle do 

*Spiritus  ammoniae  aromaticus,  h  pound,  in  glass-stopper  bot- 
tle   .". bottles. . 

Spiritus  frumenti,  1  quart,  in  bottle do 

Spiritus  glycerylis  nitratis,  1  ounce,  in  glass-stopper  bottle. .  .do 

Strychninae  sialphas,  1-mgm.  hypodermic  tablets,  250  in  loot- 
tie bottles. . 

Sugar,  wliite,  12  pounds, in  can cans. . 

Sulphur,  in  roll pounds . . 

Sulpluu-  lotum,  ^  pound,  in  wide-mouth  bottle bottles . . 

Syrupus  fcrri  iodidi,  J  poxmd,  in  bottle do 

Syrupus  hypophosphltum  compositus,  1  pound,  in  bottle. .  .do 

Synipus  scillae,  1  poimd,  in  bottle do 

Talcum,  2  pounds,  in  screw-top  tin tins. . 

Thymol,  1  oimce,  m  bottle bottles. . 

*ThymolLs  iodidum  (Aristol),  1  ounce,  in  bottle do 

*Tirictura  aconiti,  1  ouncCj  in  bottle do 

Tinctura  benzoini  composita,  ^  pound,  in  bottle do 

Tinctura  cantharidis,  J  pound,  in  bottle do 

Tinctura  csipsici,  i  poimd,  in  bottle do 

Tinctura  cinchouae  composita,  1  poimd,  in  bottle do 

Tinctura  digitahs,  ^  poimd,  in  bottle .do 

Tinctura  lerri  chloridi,  1  poimd,  in  glass-stopper  bottle do 

Tinctura  gentianae  composita,  1  pound,  in  bottle do 

Tinctura  myrrhae,  I  pound,  in  bottle do 

Tinctura  niicis  vomicae,  J  pound,  in  bottle do 

Tinctura  opii,  1  pound,  in  bottle do 

Tinctura  opii  camphorata,  1  pound,  in  bottle do 

Tinctura  strophanthi,  1  ounce,  in  bottle do 

Troehisci  ammonii  chloridi,  125  in  bottle .do 

Unguentum  hydrargyri,  ^  pound,  in  wide-mouth  bottle do 

Unguentum  hydrargjrri  chloridi  mitis,  30  per  cent,  2  pounds,  in 

jar jars . . 

Vaccine,  smallpox,^  as  required units. . 

Vaccine,  typhoid,^  as  required. c.  c. . 

Vaccines, specials c.  c. 

Veronal,  '324-mgm.  tablets,  250  in  bottle,  or  equivalent bottles. . 

Zinci  oxidum,  J  pound,  in  wide-mouth  bottle do 

'/And  sulphas,  i  pound,  in  wide-mouth  bottle do 


(C.  M.  M.  D.,  No.  3.) 

1  T'pon  the  appearance  of  a  case  requiring  antitoxin  the  surgeon  may  purchase  locally  such  quantity  as 
he  may  need  for  immediate  use.  Further  supplies,  estimated  as  necessary,  will  be  procured  by  telegram, 
sent  direct  to  the  ofhcer  in  charge  of  the  supply  depot  nearest  the  post  or  station.  Quantities  to  meet  the 
contingencies  of  a  possible  epidemic  should  be  asked  for  and  supplementary  requests  made  as  the  necessity 
arises.  Request  should  be  made  for  containers  holding  so  many  units,  e.g.,  5  tubes  of  1,000  imits,  3  tubes 
of  5,000  units,  etc.  A  report  of  these  ret|uests  will  be  made  to  the  Surgeon  Oeneral  through  the  depart- 
ment surgeon.  Careful  scrutiny  of  the  time  limit  placed  on  the  package  should  be  made  and  the  unused 
quantities  should  be  returned  to  the  supply  ollicer  from  whom  they  were  received  immediately  upon  the 
establishment  of  the  fact  that  they  arc  no  longer  needed,  in  order  that  they  may  be  returned  to  the  dealer 
and  credit  be  secured  to  the  department. 

-  Smillpox  vaccine  will  be  asked  for  by  letter  addressed  to  the  department  surgeon.  Typhoid  vaccine 
will  be  asked  for  by  letter  addressed  to  the  Surgeon  General  through  the  department  surgeon.  On  account 
of  the  liability  of  these  products  to  become  inert  they  will  be  asked  for  onlv  in  such  quantities  as  are  needed 
for  early  use."  In  requiring  for  1  yphoid  vaccine  state  the  size  of  the  ampul  wanted. 

3  Streptococcus,  staphylococcus,  staphylococcus-acne  and  gonococcus  vaccines  are  furnished  from  the 
Army  Medical  School  on  special  request." 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  249 

844  STATIONERY. 


Article. 


*Bands,  elastic,  of  the  following  sizes:  Thread  bands,  li-uich. 
2-inch,  2Hiich,  and  3-inch;  heavy  bands,  i  by  2J  inches  and 

i  by  3  inches  (sizes  desired  to  be  stated),  as  required dozen. . 

Baskets,  letter number.. 

Baskets,  waste  paper - - do.... 

Binder,  loose-leaf,  for  medical  history  of  post  (see  par.  412) do 

Blank  forms  (see  pars.  960  to  965). 

*Blotters,  hand do 

Books,  blank,  crown  (cap),  250  pages do. . . . 

*Books,  blank,  8vo,  150  pages do. . . . 

Books,  prescription  (see  par.  2-10) do 

Cups,  sponge do 

Envelope  openers do 

Envelopes,  official,  large do 

*Envelopes,  official,  letter do — 

*Envelopes,  official,  note do — 

Era.sers,  rubber,  pencil - do — 

♦Erasers,  rubber,  typewriter do — 

Files,  Shannori (for  ciinical  histories),  as  required do. . . . 

*Ink,  black,  powder  or  tablets  (sufficient  in  box  for  1  quart  of 

fluid) A^?i®^-- 

*Ink,  red,  2  oimces  in  bottle bottles. . 

Inkstands ii"  mher . . 

Labels ,  for  disijensing  set,  as  required do ... . 

Labels,  for  ^ials gross. . 

Labels,  poison,  assorted do — 

Pads,lesk number.. 

Pads,  ink,  for  stamps -  -  do — 

*Pads,  prescrfption dozen. 

♦Paper,  blotting,  for  desks quu-es. . 

*Paper,  blotting,  small  pieces  for  hand  blotters pieces. , 

Paper,  carbon,  cap,  100  sheets  in  box boxes. 

*Paper,  carbon,  letter,  100  sheets  in  box do — 

*Paper  fasteners -do — 

Paper,  manifolding,  cap,  250  sheets  in  package packages. 

Paper,  manifolding,  letter,  500  sheets  in  package do. . . . 

♦Paper,    manifolding,   letter,   perforated,    500   sheets   in   pack- 

Q„P    _ packages. 

Paper,  typewriter,  cap,  250  sheets  in  package do. . . 

♦Paper,  typewi-iter,  letter,  500  sheets  in  package do. . . 

Paper  weights number. 

♦Paper,  writing,  letter quires. 

♦Paper,  writing,  note do  . . 

Paper,  writing,  note,  100  sheets  in  pad pads . 

♦Paste,  photo  and  Ubrary jars. 

♦Pencils,  lead number. 

♦Penholders do. . . 

Penrncks do. . . 

♦Pens,  steel gross. 

Punch,  perforating number. 

Rulers .-- do... 

Stamp,  penalty,  rubber do. . . 

Stamps,  rubber,  as  required do. . . 

Tape,  office,  red spools. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800      1,000 


2 
2 
1 

2 

2 

1 

1 

2 

2 

200 

600 

100 

2 

2 

2 


2 
2 
1 

2 

3 

2 

1 

2 

2 

200 

600 

100 

2 

2 

2 


3 
3 
1 

3 
4 
3 
1 
3 
3 
200 


200 
3 
3 
3 


5 

2 

4 

4 

300 

800 

200 

4 

4 

4 


5 
5 
1 

5 
8 
7 
2 
5 
5 

300 
1,000 

300 
5 
5 
5 


5 
5 
1 

5 
10 
9 
2 
5 
5 

300 
1,000 

300 
5 
5 
5 


18 
4 
5 
2 
6 
5 

60 
2 
2 
4 
2 
2 

2 
2 
4 
5 

12 

6 

42 

12 

60 

12 

6 

3 

1 

5 

1 


250  MANUAL   FOE    MEDICAL   DEPARTMENT,    U.    S.    ARMY. 

845.  MISCELLANEOUS   SUPPLIES. 


Article. 


Allowance  for  1  year'for  posts  having 
official  population  of — 


Alcohol ,  denatured,  5  gallons  in  bottle,  as  required bottles . . 

Apparatus,  compressed  air  (par.  903),  as  required number. . 

Apparatus,  electric  i do 

Apparatus  for  administration  of  salvarsan,  as  required do 

Apparatus,  restraint  (par.  904) do. . . . 

Applieatorsfnr  throat,  metal do 

Applicators  for  throat,  wood gross. . 

A  prons,  cook's number. . 

Atomizers, hand do 

Bag,  obstetrical  (par.  905) ., do 

Bags,  rubber,  hot  water do 

Bags,  rubber,  ire,  for  head do. . . 

Bandages,  flannel,  3-inch  roller dozen . 

Bandages,  gauze,  roller,  assorted,  in  boxes  of  6  dozen boxes. . 

Ban4a<ies, rubber,  Martin number. . 

Bandages,  suspensory dozen. . 

Bandage  winder  i number. 

Bars,  viosquito a'" 

Basins  for  sponges,  etc.,  white  enamel do. . . 

Basin,  delft,  for  office do. . . 

*Basins,  ha  nd,  white  enamel -  -  .do. . . 

Basins,  white  enamel,  for  operating  room do. . . 

Baskets,  laundry do. . . 

Bath  bricks do . . . 

Baih  robes  (gowns, convalescent) do. . . 

Bed  cradles ; do 

Bedpans,  tvhite  enamel do. 

Bedsteads,  white  enamel do. 

Bells,  call. .  .do. . . . 

Bemin ,  1  quart,  in  bottle,^  as  required bottles . . . 

Blankets,  white nuraber. . 

Blowers  for  insect  'powder do 

Boiler, coffee.  Ilk-quart,  enamel  or  tin do 

Boilers,  coffee, 6-quart,  enamel  or  tin do 

Boiler,  double,  for  cooking,  ll-quart do 

Boilers,  double,  for  cooking,  4-quart do 

Boilers,  instrument do 

Boilers,  tin,  copper  bottom do 

Bookcases,  as  required do 

Bottles,  4-quart,  glass  stopper,  for  antiseptic  solutions do 

Bougies,  Jlexible,*  as  required do 

Bowl ,  chopping do 

Bowls,  soup,  delft do 

Bowls,  sugar,  with  lid do 

Boxes,  folding,  for  tablets dozen. . 

Boxes, fracture,  folding number. . 

Boxes,  ointment,  impervious dozen. . 

Boxes,  pill do 

Boxes,  powder do 

*Brooms,com number.. 

Brooms,  hair,  long  handle,  for  floors do. 

*Brooins,  wliisk do. 

Brushes,  hair,  counter  (brushes,  hair,  for  floors) do. 

♦Brushes,  hand,  fiber do. 

Brushes,  paint do. 

Brushes,  scrubbing do. 

•  Brushes,  sliaving do 

Brushes,'  stove  blacking a"' 

Brtishes,  weighted,  for  ■polishing  floors ■  %• 

Brushes,  weighted,  for  polishing  floors,  extra  brushes  for,  as  required, 


100       200       400       600       800      1,000 


number . 


144 
1 
1 
3 
1 
1 
1 
2 


192 
2 
1 
3 
1 
2 
2 
2 


1 

72 

6 

60 

2 

60 

100 

60 

36 

6 

2 

10 

35 

2 

24 

2 

4 

6 


5  I  5 

12  15 

24  24 

1  I  1 


Buckets,  cohered,  metal,  7-quart number. 

Buckets,  fiber do... 

Buckets,  galvanized-iron QO 

Cabinet,  metal ,for  blanks  and  documents .do 

Cabinet,  metal,  for  blanks  and  documents,  extra  sections  for,  as  re- 
duired • •.-•iT'^^T- 

Calnnets  for  dressings  and  instruments,  large  (approximately:  cab- 
inet 42  by  36  by  16  inches;  stand  24  inches  high) number. . 

1  When  the  chlorid  of  silver  dry  cells  become  exhausted,  request  should  be  made  to  have  them  sent  to 
depot  for  recharging.  The  thumbscrews  holding  them  in  place  in  the  battery  should  always  accompany 
C6lls  sent  for  rpcti'iiiiiiiE 

2  r'sod  for  making  bandages  of  any  width  dasued  from  unbleached  muslin,  in  lieu  of  muslin  bandages 
formerly  issued  bv  the  box.  ,,  ,     .         ,  .     j  ,  -ii,  i-i  .  *i ™„ 

3  nenzin  of  a  specific  gra\'ity  not  greater  than  0.724  will  be  issued  as  reqmred  for  use  with  the  thermo 
cautery,  I'aqnelin  s. 

1  The  French  scale  will  be  used  in  giving  the  sizes  of  bougies. 


MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY. 

Miscellaneous  supplies — ^Continued. 


251 


Arliclo. 


Cabinets,  for  dressings  and  instruments,  small  (approximately: 

cabinet  40  by  24  by  16  inches;  stand  24  inches  high) number . . 

Cabinets  for  medicines,  ward 'jo 

Can  openers '^^ 

Caps,  for  cooks y° 

Capsules,  gelatin,  100  in  box,  sizes  00,  0,  1,  2,  3,  4  (state  size  re 

qmred) boxes.. 

Case,  aspirating  (par.  910) number. . 

Case,  dental  (par.  911) ao 

Case,  ear,  nose,  and  throat  (par.  912) do 

Cases,  emergency  (par.  913) do 

Case,  eye  (par.  914) do 

Cases,  forceps,  hemostatic  (par.  915) do 

Case,  general  operating  (par.  916) uo 

Case,  genito-urinary  (par.  917) do 

Case,  gynecological  (par.  918) do 

Case,  pocket  (par .  923) do 

Case,  post-mortem  (par.  924) do 

Case,  trial  lenses  (par.  926) do 

Catheters,  flexible,^  as  required do 

Chairs,  arm •. do 

Chairs,  common do. . . 

Chairs,  invalid,  rolling do. . . 

Chairs,  office,  revolving do. . . 

Chairs,  rocking a'" 

♦Chamois skins: do  . . 

Charts,  anatomical ^^ts . 

Chest,  tool.  No.  1  (par.  937) number 

Cleaver do. . . . 

Clocks do. . .  - 

Close  stools.    (See  Pails,  commode.) 

Clothesline,  manila yards. . 

Colanders number.. 

Cork  ejtractors do 

Cork  presser ■ ^P-.,--  ■ 

Corks,  long  taper,  sizes  2, 3,  4,  5,  and  10  (sizes  desired  to  be  stated). 


Allowance  for  1  year  for  posts  ha'ing 
official  population  of — 


dozen . 


Corkscrews number. . 

*Cotton,  absorbent,  in  roll pounds. . 

Cotton  bats    do. . . . 

Crinolin  (stentarbook),  6-yard  piece pieces. . 

Cruets,  vinegar  and  oil number. . 

Crutches         pairs . . 

Crutches 'rubber'tipsYorV  No.  16,  J-incli;  No.  18,  |-inch;  No.  19, 

|-inch  (state  size  desired) number. . 

Cups do.... 

Cups,  drinking,  paper,  as  required do 

Cups .  feeding - do 

Cups,  spit,  white  enamel do 

Cups,  spit,  paper,  as  required do 

Cups,  spit,  paper,  metal  frames  for do 

Curettes,  as  requii-ed do 

Cushions,  rubber,  srrMll do 

Cushions,  rubber,  open  center do 

Cushions,  surgical,  Kelly's do 

Cuspidors 1 do 

Besks,  office •- do. . . . 

Dippers do — 

Dishes,  meat,  assorted do — 

Dishes,  pickle do — 

Dishes,  soap,  with  covers,  for  office do — 

Dishes,  vegetable do — 

Dispensing  set  (par.  942),  as  required sets. 

Egg  beaters number . 

Eye  shades,  single  or  double do. . . 

Fans,  palm-leaf -" do. . . 

First-aid  packets  (par.  944),2as  required do. . . 

First-aid  packets  for  instruction  (par.  945) do — 

First-aid  packets  for  shell  wounds  (par.  946)  (for  Coast  Artillery 

stations),  as  required number. 

Floor  polish,  or  brightener,  1  gallon,  in  can cans. 

Floor  wax,  2  pounds,  in  can do — 

Forceps,  needle number . 

1  The  French  scale  will  be  used  in  giving  the  sizes  of  catheters. 

2  For  issue  as  a  part  of  the  individual  equipment  of  line  troops 
troops  are  given  in  the  Field  Supply  Tables. 


000 


24 
2 
3 
4 
6 
1 
1 
1 
5 

60 
1 
2 
1 

144 
2 
36 
10 
2 
3 
6 

12 
40 


800 


36 


216 
3 


90 
2 
2 
1 

288 
3 

60 

14 

4 

4 

8 

16 

72 


320 


The  allowances  for  field  use  by  sanitary 


252  MANUAL   FOR    MEDICAL   DEPABTMENT,    U.    S.    ARMY. 

Misrellaneous  supplies — Continued . 


Allov.-ance  for  1  year  for  posts  lia\ 
official  population  of — 


ing 


200 


4 
2 
3 
3 
300 


3 
3 

500 


2 

3 

3 

700 


900 


6 
3 
6 
6 
1,300 


3 
6 
6 

2,000 


18  I 


Forks,  carving number. . 

Forks,  ntsh do ... . 

Forks,  table,  silver-plated uo 

Freezers,  ice-cream,  as  required do 

Fuimels,  glass,  25  c.  c do 

Tunnels,  glass,  250  c.  c do 

Funnels,  glass,  500  c.  c do 

Funnels,  glass,  1,(X)0 e.  c do. . . . 

Gauze,  plain j-ards. . 

Gloves,  rubber,  light,  medium,  heavy-,  and  medium  rough,  sizes  and 

•   numbers  as  required pairs. . 

Glue,  liquid,  in  small  commercial  tins tins. . 

Goivm.  operating nuinber. . 

*Graduates,  glass,  10  c.  c do  — 

Graduates,  glass,  100  c.  c. .-. do 

Graduates,  glass,  250  c.  c do 

Graduates,  glass,  500  c.  c do 

Graduate,  glass,  1,000 CO do.... 

Graters,  large do 

Graters,  small do 

Gravy  boats do. . . . 

Gridirons do 

Grindsionf,  kitchen,  complete,  JO-inch do 

Hand  grenades do — 

Hones ■ ,--*^°v:--- 

Hise,  rubber-,  ^incU,  in  SO-foot  lengths,  as  required lengths . . 

Hose,  nozzles  for number. . 

Hose,  reel  cart  for ■ do 

Inllator,  Politzer's do. . . . 

Inhaler,  chloroform,  with  drop  bottle do 

Inhaler,  ether do. . . . 

Irrigators,  stand  for , do 

Irrigators,  Valentine's do 

Jars,  large,  for  dressings,  etc do 

Jars,  sm'aH,  covered,  for  sutures,  etc do 

Kettle,  croup -  -.•  -do 

Kcllles,  tea do 

Knife,  chopping do 

Knives,  bread do 

Knives,  btilcher's do 

Knives,  carving ^ do 

Knives,  table,  silver-plated do — 

Ladder,  step do — 

Ladles do ... . 

Lamps,  chimneys  for.i  as  required do — 

Lamps,  hand do 

Lamps,  shades  for,»  as  required do 

Lamps,  si>irit,  glass do  — 

Lamps,  stand -  ■  -do 

Lamps,  wicks  for  (for  lamps  and  spirit  lamps) ,»  as  required,  .do 

Lanterns,  com plete do 

Lanterns,  extra  globes  for,  white,  as  required do — 

Lanterns,  wicks  for,  as  required do — 

Laiv ri  moicer do. . . . 

Linoleum  "i  as  required yards. . 

Litters  with  slings « number. . 

Litters,  c;vn vas  for,  as  required pieces . 

Litters,  tacks  for,  75  in  package,  as  required packages . . 

Looking  glasses number. . 

Lye,  concentrated,  1  pound  in  can cans. . 

Mts,  door,  manila number . 

Mats,  door,  metal --^^ — 

Mattress  covers. do — 

Mattresses,  hair,  in  three  equal  parts do  — 

Measures,  metal,  1-pint,  1-quart,  2-quart,  and  4-quan sets. . 

Meat  cutler number. 

*  Medicine  droppers dozen . 

Medicine  glas.ses number. 

Mill,  coffee • do. . . . 

Mops,  handles  for do  — 

Mops,  heads  for • do — 

Murinrs  and  pestles,  glass,  10  ctw. do — 

>  The  kinds  of  lamps  for  which  chimnevs,  shades,  and  wicks  are  desired  should  be  stated  on  requisitions. 

2  Furni.^lied  for  ollicesjuid  dispensary  and  iu  l-\  ard  strips  for  halls  :uid  wards.  Heqiiisitions  for  linoleum 
will  be  accompaQied  by  an  estimate  of  the  cost  of  purchasing  it  at  or  near  the  post. 

8  One  litter  is  issued  to  each  company  on  memorandum  receipt.  The  allowances  for  sanitary  troops 
OB  rield  service  are  given  in  the  Field  Supply  Tables. 


400 


800 


1.000 


3    ! 

2  I 
60  \ 


20 


MANUAL   FOR    M?:DICAL    DEPARTMENT,    U.    S.    ARMY.  253 

Miscellaneous  supplirs — Continued. 


Arliclp. 


Allowance  for  1  year  for  posts  ha^  ing 
official  population  of — 


Mortars  and  pestles,  Wedgwood,  8  cm number. . 

Mortars  and  pestles,  Wedgwood,  20  cm do 

Mortar  and  pestle,  Wedgwood,  SO  cm do 

Mosquito  bars.    (See  Bars,  mosquito.) 

Muslin,  unbleached yards. . 

Needle,  sailmaker's number. . 

Needles,  common,  assorted papers. . 

Needles,  surgical,  assorted,  as  reqiured number. . 

Needles,  surgical,  Hagedorn's,  20  in  set sets. . 

Needle,  upholsterer's number. . 

Oil  can  icith  pump,  S  gallons do. . . . 

Oilcloth,  for  table yards. . 

Ophthalmoscope nurnber. . 

Pails,  commode  (close  stools) do 

Pails,  white  enamel do 

Paint,  white  enamel,  1-pint  tin tins. . 

Pajamas,  coats number. . 

Pajamas,  trousers do 

Pans,  dish,  deep,  rctinncd,  21-quart do 

Pan,  dish,  extra  heavy,  retinned  or  metal,  35-quart do — 

Pans,  dust : ^o 

Pans,  frying do — 

Pans,  milk do — 

Pans,  muffin do — 

*Pans,  sauce -do 

Paper,  filtering,  round,  10-inch packages. . 

Paper,  oiled,  in  5-yard  roll rolls. . 

Paper,  tarred,  in  30-yard  roll,  as  required do — 

Paper,  toilet,  fn  roll  of  2,000  sheets do. . . 

Paper,  wrapping,  blue qmres. 

Paper,  wrapping,  brown do — 

Paper,  wrapping,  white do. . . 

Pencils,  hair,  1  dozen  in  -vial vials. 

Percolators,  glass number. 

Pill  machine j°' ' ' 

Pillowcases,  cotton do. . . 

Pillotvs,  feather - do. . . 

Pillows,  hair ■" do. . . 

Pill  tile,  5  by  10  inches do. . . 

Pins,  common,  assorted papers . 

Pins,  satetv,  3  sizes dozen. 

Pitcher,  delft,  for  office number . 

Pitchers,  delft,  1-pint do. . . 

Pitchers,  delft,  4-quart : do. . . 

Pitchers,  sirup,  glass.-. -do. . . 

Pitchers,  w'ute  enamel do. .  . 

Plaster,  adhesive,  z.  c,  5  yards  by  2J  inches  i spools. 

Planter  of  Paris,  in  4-pound  tin tins. 

Plates,  dinner number. 

Potato  viasher j'" 

Pots,  mustard,  with  wooden  spoons do. . . 

Pots,  stock,  U-quart do. . . 

Pots,  tea,  enamel  or  tin 5"" ' ' 

Pot,  ivatering ^° " ' ' 

Pus  basins a'" 

Racks  for  urinals  and  bedpans do. . . 

Eaiors j"" ' ' 

Ra?ors,  strops  for a'" 

Refrigerators,  large  or  small,  as  required do. . . 

Retorts,  stands  for do. .  . 

Rods,  glass,  assorted,  in  10-ounee  package packages. . 

Rolling  pin number. 

Safe,  iron ■ do. . . 

Saucers do. . . 

Saio,  butcher's j  ' ' ' 

Scales  and  weights,  apothecary's,  metric  system do. . . 

Scales  and  iveights,  balance  in  glass  case,  metric  system do. . . 

Scales  and  iveights,  grocer's j*^'"' 

Scales  and  weights,  platform -, 4^" " " 

Scissors,  bandage do — 

Scoops do — 

*Screens.  bed,  folding,  frames  for,  white  enamel ; do — 

Settees,  for  porch  or  hall,  as  required do — 

Shakers,  pepper,  glass -  do 

Shakers,  salt,  glass do 

•  Also  Issued  on  special  requisition  at  the  rate  of  1  spool  to  each 
to  t-arry  out  pro^^sions  of  e.xisting  orders.    (See  Appendix:  Feet.) 


100       200       400       600       800      1,000 


150 
6 

12 
6 
9 
1 
1 
128 

32 

32 
1 
8 

30 
1 
2 
4 
3 
2 

40 
6 

48 
1 
2 
1 
2 
1 
3 
2 
1 
1 


200 


12 

2 

1 

192 

48 

48 
1 

10 

36 
1 
4 
6 
3 
3 

50 
8 

56 
1 
2 
« 
3 
1 
4 
2 
2 
2 


2 
1 
1 

18 
1 
4 
3 

10 
128 
128 
3 
1 
6 
3 

10 
4 
3 
5 
5 


300 
10 
20 
10 
15 

1 

250 

64 

6! 

1 

12 

40 

1 

4 

S 

4 

3 

60 

10 

72 

1 

2 

2 

3 

-     1 

4 

3 

2 

2 


20  men  of  organizations  of  foot  troops 


254  MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

Miscellaneous  supplies — Continued . 


Article. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800      1,000 


Shears number..         2  2  2  3  3 

Shears,  for  fixed  bandages do 11111 

Sheeting,  rubber ..yards..         6  6        10        14        18 

*Shccts,  cotton number..       50       100       200       300       400 

Shirt.s,  cotton do....         8        16        32        48        64 

Shoes,  wooden,  for  bedsteads do....       32        64       128       192       256 

Sickle do....         11111 

Sieves, flour do 1112         2 

Silk,  oiled,  in  5-yard  roll rolls..         12  3  4  5 

Skimmers number..         1112  2 

Slippers pairs..         6        12        20        30        40 

Soap,common pounds..       60        80       100       120       140 

*Soap, Ivory cakes..       48        72        90       108       126 

*Soap' scouring pounds..       36        48        72        96       120 

Spatulas,  S-inch number..         112  2  2 

Spatulas,  e-inch do....         112  2  2 

Speculum,  rectal do 11111 

Sphygmomanometer do 11111 

Splints,  Hodgen's,  right  or  left,  as  required do 

Sponge  holders do 2  2  2  4  4 

Spools,  Halstead's,  glass do....         6  6  6        12-12 

Spoons.basiing.  tinned  iron do 2  2    '      2  2  3 

Spoons,  table,  silver-plated do....        18        24        36        48        60 

Spoons,  tea,  silver-plated do 18        24        36        48        60 

Sprinklers,  powder,  h.T do 1112  2 

Stair  treads,  linoleum,^  as  required do 

Stair  treads,  rubber  nosings  f  or, ^  as  required do 

Stair  treads,  molding  for,  as  required feet 

Stamp,  with  outfit,  for  marking  hospital  clothing number..        11111 

Steels do....        11112 

Sterilizer,  for  dressings do 11111 

Stethoscopes,  double do 12  3  4  4 

Stools,Tevolving,  white  enamel do 1112  2 

Stoves,  alcohol,  as  required do 

Stove  blacking papers..       12        12        12        20        20 

Suppository  mold number..         11111 

Sutures,  catgut,  plain  or  chromicized,  sterilized,  18  inches,  in  tube, 

assorted  sizes 2 tubes..       24        48        72        84       100 

Sutures,  horsehair,  100  in  coil coils..         2  2  4  4  6 

Sutures^  kangaroo  tendon,  sterilized,  1  suture  in  each  tube.. tubes..       50        50        60        60 
Sutures,  silk,  braided,  steriUzed,  18  inches  each,  3  sizes,  in  pack- 
age..!  packages..         5  8        16        16        24 

Sutures,  silkworm  gut,  100  in  coil coils..         112  2  3 

Sutures,  silver  wire,  in  yard  lengths yards..         1  l  i  2  2 

Syringes,  bulb,  rubber number..         2  2  2  2  2 

Syringes,  ear  and  ulcer do 3  3  4  4  5 

Syringes,  extra  needles  for,^  as  required do 

Syringes,  extra  wires  for,  as  required biuidles 

Syringes,fountain,  metal,  2-quart,  graduated  {iiTigSitOTS)... number..         2  2  3  4  5 

Syringes,  fountain,  rubber do 112         2  2 

Syringes,  glass,  Luer  type,  2  c.  c.  (for  antityphoid  vaccination), 

as  required, number 

Syringes,  glass,  Luer  type,  10  c.  c,  as  required do 

Syringes,  glass,  Luer  type,  SO  c.  c.  (for  mjection  of  ueosalvarsan), 

as  required number 

Syringes,hypodermic(i)aT.95^) do 2  2  2  3 

Syringes,  penis,  glass,  in  case do 30        50        75       100 

2^ables,beaside,  iron,  white  enamel do 8        12        20        30 

Tables,  bedside,  white  enamel,  tops  for,  as  required do 

Tables,  dining,  extension,  as  required do 

Tables,  instrument do 1 

Tables,  operating do 1 

Tables,  typewriter do 1 

Tape,  cotton pieces..        2  | 

Tape  measures,  linen,  6 feet ,.. number..        2 

Thermo-cautery,  Paquelin's  (par.  957)  ^ do 1 

Thermometers,  bath do 1 

♦Thermometers,  clinical  s do 6 

Theruiometers,  meteorological do 2 

Thread,  cotton,  assorted -. spools. .         2 

Thread,  linen,  unbleached,  200  yards  on  spool do —         J 

1  State  number  and  dimensions  of  treads. 

2  Kinds  and  sizes  to  be  stated  on  requisitions. 

»  In  making  requisition  for  extra  noodles  specify  make  of  syringe  and  size  of  needle  desired. 
<  IJenzm  of  a  speciQc  gravity  not  greater  than  0.724  in  1-litor  bottles  will  bo  issued  as  required  for  use  with 
this  cautery. 
0  Clinical  thermometers  are  issued  on  request  by  letter  approved  by  the  department  surgeon. 


4 
125 
40 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S,    ARMY.  255 

Miscellaneous  supplies — Oontiuued. 


Article. 


Tongue  depressors,  metal nuinr>er. . 

Tongue  depressors,  wood gross. . 

Tourniquets  and  bandages,  rubber number. . 

Towels,  bath dozen.. 

Towels,  dish ^'^ 

*  Towels,  hand ^o 

ToiceU,  paper,  fixtures  for number. . 

Towels,  paper,  in  roll rolls. . 

Traps,  mouse number. . 

Traps,  rat ^o 

Trays,  bed,  with  legs •  -  ^o 

Trays,  butler's <i° 

Trays,  instrument,  white  enamel do 

Trowel,  garden  ^o . . . . 

Tubes,  drainage,  rubber,  3  sizes,  1-yard  length yards. . 

Tubes,  rectal number.. 

Tubes,  stomach do  ... 

Tubing,  glass,  assorted pounds. . 

Tubing,  rubber,  sizes  as  specified yards. . 

Ttib,  bath,  portable,  on  wheels number. . 

Tubs,  foot <J0 

Tubs,  wash do. 

*Tumblers,  glass do 

Twine,  line  or  coarse pounds. . 

Twine  boxes number.. 

Typewriters • do 

Typewriters,  record  ribbons  for,'  as  required do 

Urinals,  glass,  graduated -do 

Vials,  in  sizes  as  desired doze<n. . 

Vision  test  set  (T£ia,r.  959) number.. 

Water  coolers do 

Window  shades  with  fixtures,  complete,  2  as  required do 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800     ,1,000 


4 

100 

1 

2 


150 
1 
2 


200 
1 
3 


10 

250 

1 

3 


4 

14 
2 
7 
7 

35 
4 

35 
3 
2 

10 
5 
3 
1 
6 
2 
2 
2 
4 
1 
2 
2 

8-1 
6 
2 
2 


12 

300 

1 

3 


1  Supplied  on  the  order  of  the  department  surgeon.    One  for  each  machine  only  at  a  time  should  be 
asked  for.    The  make  of  machine  should  be  stated  in  the  request.  ^.      ^      t4.v,         +    f     „i 

2  Requisitions  for  window  shades  and  fixtures  will  be  accompanied  by  an  estimate  of  the  cost  01  mak- 
ing or  purchasing  these  articles  at  or  near  the  post. 


846 


LABORATORY   SUPPLIES. 


Article. 


Acid,  acetic,  glacial,  1  pound,  in  glass-stopper  bottle bottles. . 

Agar-agar,  ^  pound,  in  package packages. . 

Alcohol,  absolute,  ethyl,  1  pound,  in  glass-stopper  bottle,  .bottles. . 
Alcohol,  methyl,  reagent,  1  pound,  in  glass-stopper  bottle. .  .do — 

Aniline  oil,  2  dunces,  in  bottle do 

Apparatus,  distilling number. . 

Balsam,  Canada,  1  ounce,  in  bottle bottles . . 

Baskets,  wire,  for  test  tubes nurnber . . 

Bath,  water,  for  paraffin,  as  required do  — 

Bath,  water,  copper,  for  test  tubes do 

Bath,  water,  tripod  for do 

Beakers  glass,  sizes  15  c.c.to  SOO  c.c do 

Bismarck  brown,  J  oimce,  in  bottle bottles. 

Bottle,  balsam number. 

Bottle,  dropping,  for  oil  of  cedar  ( 1  wth  microscope) do . . . 

Bottles,  dropping,  T.  K.,for  stains,  2  ounces do. . . 

Bromin,  1  ounce,  in  bottle bottles. 

Brushes,  test  tube number. 

Burettes,  glass  stop-cock,  35  c.  c,  subdivision  IjlO  c.c do. . . 

Burettes,  supports  for,  with  double  clamp  and  three  rings do. . . 

Burners,  Bunsen's  1 j°"" 

Centrifuge,  hand do. . . 

Covers,  glass -. ounces . 

:;ylindcrs,  gi-aduated,  with  foot,  10  c.  c nurnber. 

Cylinder,  graduated,  with  foot,  25  c.  c do. . . 


Allowance  for  1  year  for  posts  having 
official  population  of— 


400 


1,000 


1  Issued  only  to  posts  suppUed  with  gas. 


256  r^iAXUAL  FOE  medical  depaetmext,  u.  s.  aemy. 

Laboratory  supplies — Continued. 


Allowance  for  1  year  for  posts  having 
ofBcial  population  of— 


Article. 


100 


Dishes,  evaporating,  porcelain,  sizes  So  c.  c.  to  SOO  c.  c number. . 

Dishes,  Petri's do. . . . 

Dishes,  Steuder,  30  by  50  mm .do 

Eosin,  *  ounce,  m  bottle ; bottles. . 

Flasks,  Erhnmcyer's,  210  c.c number. . 

'Flasks,  Erlen  meycr's,  600  c.c do 

Flasks,  Erlcnmeyefs,  1,000 c.c do 

Flasks,  Erlenmeyer's,Z,000 c.c do — 

Forceps,  cover-glass,  Novy's do — 

Forceps,  cover-glass,  Stewart's do 

Forceps,  straight,  medium  fine do 

Fuchsin,  J  ounce,  in  bottle bot^tlcs. . 

Fuchsin,  acid,  i  ounce,  in  bottle do  — 

Gauze,  wire,  iron,  asbestos  centers,  4  by  4  inches pieces.. 

Gelatin,  in  2-ounce  package pacliagcs . . 

Gentian  violet,  i  ounce,  in  bottle bottles . . 

Glucose,  powdered,  J  pound,  in  bottle do — 

Hemaglobin  scales,  Tallquist's number . . 

Hematoxylin,  §  oimce,  in  bottle bottles . . 

Hcmociitomctcr nurnber. . 

Hone,  Belgian,  8  by  Ih  inches,^  as  required do 

Incubator,  bacteriological, ^  as  required do — 

Jars,  staining,  Coplin's - -do 

Labels,  microscopical,  square,  500  in  book books . . 

Methylene  blue,  4  ovmce,  in  bottle .bottles. . 

Microscope,  post  (par.  951) nurnber. . 

Microtome,  complete,  as  required do. . 

Oil,  immersion,  1  oimce,  in  bottle bottles. 

Paper,  filtering,  Swedish,  Muiiktel's quires . . 

Paper,  litmus,  blue  and  red,  100  strips  in  vial,  of  each vials 

Paranin,  soft  and  hard,  as  required pounds 

Pencils,  wax,  red number 

Peptone,  J  pound,  in  wide-mouth  bottle bottles. . 

Pipettes,  i  c.  c number 

Pipettes,  5  c.  c ao-  - 

Pipettes,  10  c.  C ao. . 

Pipettes,  25  c.  c do. . 

Pipettes,  graduated,  5  c.  c /■■-,••  ■"°-  - 

Razor,  strop  for,  Badger,  Emerson's  electric,  14  tnches  long,-  a 

required - number 

Betorts,  stands  for.    (See  par.  845.) 

Bings,  filtering,  porcelain do     . . 

Rods,  glass,  5mms.  thick,  15, 20, andSO cms.  long, assorted. pounds. . 

Section  lifter,  small number. . 

Slides,  glass,  25  by  75  mms dozen . . 

Sierilizer,  hot-air,  10  by  12  by  10  inches number . . 

Stopcock^s,  Mohr's,for  rubber  tubing do  — 

Test  glasses, footed,  urinary -do  — 

Test  tubes dozen.. 

Test  tubes,  standfor .-  -  .number . . 

Thermometer,  chemical,  0-100"  C. do 

Thermometer,  chemical,  0-200°  C. do 

Tripods,  iron,  Bunsen's do — 

Ureometer,  Doremus-Hinds do — 

Urinometers ^° — 

Watch  glasses,  Syracuse .*. :  do — 

Wire,  platinum,  heavy mches. . 

]Vire,  platinum,  medium do    . . 

Wright's  stain,  powder,  0.2  gram  in  ampul ' ampuls. . 

Xvlol,in  *-pound  bottle bottles. . 


200       400   '   600 


3 
15 
2 
1 
6 
2 
2 
6 
1 
4 
1 
1 
1 
1 
5 
1 
1 
1 
1 
1 


800     1,000 


1  I 

2 

3 


6 
18 
3 
1 
6 
2 
2 
10 
1 
6 
1 
1 
1 
2 
10 
1 
2 
2 
1 
1 


1 
1 

If. 
1 
3 
6 

.50 
2 
1 
1 
2 
1 
2 
6 

12 

12 
3 
2 


>  Issued  only  for  use  with  microtome.  ,    ,    ,       .    ,     „ 

2  In  making  requisition  state  method  of  heating  available,  whether  alcohol,  petroleum,  or  gas. 
8  To  prepare  the  stock  solution  dissolve  60  mgms.  in  20  c.  c.  of  methyl  alcohol,  reagent  (acetone  free). 
For  use  filter  and  make  up  to  25  c.  c.  with  methyl  alcohol. 


847. 


MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY.  257 

IDENTIFICATION    SUPPLIES.' 


Article. 


Box  for  holdiw;  developing  tray number. . 

Camera  with  lens do 

Camera  with  lens,  stand/or do 

Chair,  revolving,  photo do 

Crayon,  chalk,  white,  1  gross  in  box boxes. . 

Developer  for  films,  in  tube,  as  required. tubes. . 

Developer  for  paper,  in  tube,  as  required do 

Dry  cells,  as  required number. . 

Film  pack  adapter do 

Film  pack  adapter,  slide  for,  as  required do — 

Film  packs,  12  Alms  in  pack,  as  required do 

Finger  Prints,  Classification  and  Uses  of,  Henry copy. . 

Fixmg  salts,  in  package,  as  required packages. . 

Flashlight  cage number. . 

Flashlight  cartridges,  as  required do — 

Graduates,  glass,  8-ounce do — 

Ink  plate do. . . . 

Ink,  printing,  in  A-pound  tube tubes. . 

Lantern,  ruby number. . 

Magnesia  ribbons,  50  in  box,  as  required boxes . . 

Metal  clips,  for  holding  magnesia  ribbons.    (See  Forceps,  cover- 
glass,  Stewart's,  par.  846.) 
Paper,  printing,  photographic,  3  by  5i  inches,  as  required,  packages . . 

Photo  clips,  as  required number. . 

Printing  hoards do 

Printing  frames do 

Push  button do. . . . 

Poller,  ink,  handle  for do 

Roller,  ink,  summer,  as  reciuired do 

Roller,  ink,  winter,  as  required do 

Shade,  roller,  with  hood  (.background) do — 

Slates,  4\  by  llh  inches do. . . . 

Spark  coil do 

Spark  plug do — 

Thermometer,  chemical^  0-100°  C do 

Tracing  cloth,  as  requu-ed yards. 

Tray,  developing,  for  5  by  7  plates number. . 

Tray,  developing,  for  S  by  10  plates do. 

Trays,  developing,  for  11  by  H  plates do. 


Allowance  for  1  year  for  posts  having 
official  population  of — 


100       200       400       600       800      1,000 


1  Requisitions  for  identification  supplies  should  be  made  on  Form  35  only.  On  these  requisitions  no 
items,  except  those  pertaining  to  identification  of  soldiers,  should  appear  as  they  are  filled  from  the  New 
York  Supply  Depot  only.  ,,  ^  .        ,....,    ^  -   t  i,* 

2  A  printing  box  may  be  furnished  in  lieu  of  the  printmg  board  for  posts  equipped  with  electric  light. 

70156°— IS 17 


258  MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

848.  X-RAY  SUPPLIES. 


Article. 


Allowance  for  1  year  for  posts  having 
official  population  of— 


100 


600      800     1,000 


A pparatus.  X-ray,  as  required number. . 

Apron,  rubber,  lead-impregnated do 

Barium  sulphate,  for  X-fay  work,  1  pound,  in  bottle bottles.. 

Bismuth  subcarbonate,  1  pound,  in  bottle do — 

Carriers,  plate,  8  by  10  inches  and  I4  by  17  inches,  for  use  with  tanlcs, 
of  each number. . 

Chrome  alum,  crystals,  1  pound,  in  bottle bottles. . 

Films,  dental.  X-ray,  6  dozen  in  box boxes. . 

Fluoroscope,  hand number. . 

Funnel,  glass,  ribbed,  500  c.  c do 

Gloves,  rubber,  lead-impregnated,  size 9 pairs.. 

Holder,  plate,} or  vse  instead  of  envelopes number. . 

Hydroquinon^  i  pound,  in  bottle bottles. . 

Metol  (or  equivalent),  1  ounce,  in  bottle do 

Plates,  X-ray,  8  by  lOinches,  10  by  12  inches,  11  by  14  inches,  and 
14  by  17  inches,  as  required number. . 

Sodium  carbonate,  dry,  1  pound,  in  bottle bottles. . 

Sodium  hyposulphite pounds. . 

Sodium  sulphite,  dry - do — 

Screens,  intensifying,  10  by  12  inches  and  I4  by  17  inches,  of  each, 
number 

Stereocsope ; number . . 

Tanks,  developing,  soapstone,  14i  by  14i  by  19  inches  deep,  inside 

measurement number. 

Tray,  developing, for  10  by  12  inch  plates do 

Trays,  developing, for  14  by  17  inch  plates do — 

Tvbes,  X-ray,  Coolid^e,  as  required do — 

Tubes,  X-ray,  tungsten  target,  6-inch  diameter  (for  use  vrtth  induc- 
tion coil),  as  required number.. 

Tubes,  X-ray,  tungsten  target,  7-inch  diameter  (for  use  with  trans- 
former), as  required number. 


(C.  M.  M.  D.  No.  3.) 


HOSPITALS. 


Ammeter,  for  Cooliige  tube  filament  current,  with  scale  reading  from  S  amperes  to  S  amperes  in  divi- 
sions of  twentieths number. . 

Apparatus,  X-^ay,  interrupterless  type,  to  operate  on  110  or  220  volt  alternating  current do 

A  pron,  lead,  protective,  leather  straps,  length  33  inches,  width  24  inches do 

A  pron,  waterproof,  60  inches  long do 

Box,  lead-lined,  water-tight,  connected  with  sewer,  lined  with  -flinch  sheet  lead,  43  by  2S  inches,  and  19 
iflcftes  deep,  inside  measurements.     To  hold  tanks  for  developing,  etc.    (To  be  made  by  carpenter), 

number 

Box.  lead-lined,  10  by  20  inches,  and  18  inches  deep.    Lined  with  i-inch  sheet  lead  on  all  sides.     Made  of 
^tnch  lumber.     Hinfed  lid.     For  protection  of  plates  from  X-ray.    (To  be  made  by  carpenter), 

number ; 

Box,  wooden.  12  by  12  by  3  inches.    (To  be  made  by  carpenter) number.. 

Brush,  camel' s-hair,  3  inch do — 

Carriers,  plate,  Core,  10  by  12  inch  size,  Monel  metal : dozen. . 

Carriers,  plate.  Core,  14  by  17  inch  size,  Monel  metal do — 

Crocks,  earthenware,  6-gallon number . . 

Chemicals: 

Barium  sulphate,  for  X-ray  diagnosis poimds . . 

Chrome  alum do — 

Formaldehyde do — 

Ilydroquinone do  — 

Metol,  or  equivalent do  — 

Potassium  bromide do  — 

Sodium  carbonate,  dry do — 

Sodium  hyposulphite do — 

Sodium  sulphite,  dry do — 

Films,  dental,  li  by  24  inches gross . 

Films,  dental,  1 J  by  l|  inches do  — 

Fihn.s,  dental,  holders  for dozen. 

Funnels,  enamel  ware,  6-inch number. 

Glass,  lead,  ^  inch  thick,  8  by  10  inches piece. 

Gloves,  opaoue,  protective pairs . 

Goggles,  welders' do — 

Insulators,  wall,  for  high  tension  wires,  laminated  paraffined  paper,  18  inches  long,  S  inches  in  diameter, 

i-inch  aperture number. 

Lead  foil,  medium  thickness poimds. 


1 
5 
100 
15 
1 
1 
2 
2 
1 
2 
2 

3 
10 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  259 

X-ray  supplies  for  base  and  general  hospitals — Continued. 


Light,  incandescent,  blue,  with  pull  switches,  for  fluoroscopic  room number . . 

Lead,  sheer,  4  pounds  to  sq7iare foot ^''"l^^lw"' 

LocaUzer,eye,  Kelley-Koctt °"™„t«"' 

Numbers,  lead,  h-inch,  ItoO ,;;,mhpr " 

Pitchers,  enamel  loare,  2-quart nuiuuer. . 

Preservers,  negative  (envelopes): 

For  14  by  17  plates a-,"" 

For  10  by  12  plates i„"" 

For  8  by  10  plates -, h«'"" 

Plate  changer,  stereoscopic,  for  Uby  17  plates,  Kclley- Koett a" 

Plates,  X-ray:  , 

Si£el4byl7 Hn    '" 

Size  10  by  12 To"" 

Rack,  tube,  a-indi hoics,'wooden'.  ' '(To  be  made  by  carpenter) number . . 

Radiometer,  Hampson's - ^° 

Reels,  trolley,  plain J^" 

Reels,  trolley,  double,  Coolidge v;,-  vv : "  •/  -"j  V  V ';  T "  V  i  !;,Vv: +v;!Vi" 

Roentgenoscove,  vertical.    Arranged  for  Coolidge  tube.    Tube  box  protected  by  sheet  lead  J  inch  thick 
on  front  and  sides.    Furnished  with  Patterson  tungsten  screen,  11  by  14  mches,  mounted  m  screen 

holder  with  protected  handles  and  covered  with  lead  glass  at  least  A  mch  thick number . . 

Rotary  converter.     For  use  where  only  direct  current  is  obtainable ;■  r  •  f  ° 

A  rotary  converter  of  5  kw.  capacity  complete  with  starting  box  and  switches,  capable  of  con- 
tinuous operation  at  5  kw.,  and  of  sustaining  an  overload  of  150  per  cent  for  10  seconds,  to  deliver 
a  sati'ifactory  alternating  current  to  the  X-ray  machine  from  a  dnect-current  source. 

Safe-light,  dark  room,  Eastman  Brownie number . . 

Sand  bags,  S  by  4  by  8  inch es ^^ 

Screens,  intensifying,  mounted  in  cassettes: 

SizeUbyir ^o.... 

Size  8  by  10...: ao.... 

Stand,  tube,  Kclley-  Koett  type Q" 

Stand,  insulating,  for  Coolidge  tube  transformer  and  ammeter -  •  ■ ;  v  v- ao. 

Stereoscope,  Wheatstone,  furnished  with  four  100-watt  nitrogen  lamps  and  regulated  by  dimmers  permit- 
ting of  gradual  regulation number . . 

Switch,  foot ^°-- 

Switch,  high-tension,  double-throw,  Coolidge  equipped QO-  • 

Switch,  high-tension,  sine/lc-throw ,  Coolidge  equipped uo-  • 

Table,  roentgenographic  awl  rocntgenoscopic do . . 

Tank,  porcelain,  4\  by  U%  bv  20  inches do. . 

Tank,  porcelain,  Ulby  U\hy  20  inches ao 

Thermometer,  bath *J** 

Trays,  enamel  ware,  for  14  by  17  plates <io 

Trays,  enamel  ware,  for  10  by  12  plates •  -.- -  -  ■'^^r  ■  - - 

Transformer,  Coolidge  tube,  insulated  against  breakdown  test  of  b0,000  volts.    Primary  current  control 

device  of  either  resistance  or  impedance  type number. . 

Tubes,  Coolidge,  medium  Jocus ^o 

Tubes  7-inch,  tungsten  target ^•^ 

Tunnel,  plate  changing,  aluminum.,  8  by  10,  Kelley-  Koett do 

Tunnel,  plate  changing,  aluminum,  10  by  13,  Kelley-Koett do 

Tunnel,  plate  changing,  aluminum,  14  by  17,  Kelley-  Koett do 

Wedge,  wooden,  12  by  12  by  3  inches,  angle  27  degrees.    (To  be  made  by  carpenter) f't" 

Wire,  bronze,  for  overhead  systems ^^^  -  • 


2 
100 
1 
5 
2 

100 

200 

400 

1 

6 
() 
10 
1 
1 
3 
1 


2 
6 

1 
2 
1 
1 

1 
1 
1 
1 
1 
1 
2 
1 
1 
2 

1 

4 
3 
1 
1 
1 
1 
150 


(G.  M.  M.  D.,  No.  3.). 


ARTICLE  XTin.— DENTAL  SUPPLY  TABLES. 

849.  The  articles  listed  in  the  following  tables  comprise  the  usual 
equipment  for  use  by  dentists  in  the  Army,  including  both  portable 
and  base  outfits. 

(a)  The  portable  outfit  is  in  greater  part  contained  in  the  dental 
chests,  viz,  instrument  chests  Nos.  1  and  2,  supply  chest,  dental 
engine  chest,  dental  chair  chest,  and  dental  field  desk,  thus  facilitat- 
ing transportation  between  itinerary  stations.  Dental  chests  are 
issued  empty  on  proper  requisition. 

(6)  The  base  outfit  consists  of  a  complete  portable  outfit,  except 
furniture,  plus  a  laboratory  equipment  and  dental  office  furniture. 
Base  outfits  are  supplied  at  general  hospitals  and  other  important 
stations  designated  by  the  Surgeon  General,  where  they  permanently 
remain. 

850.  The  numbers  in  the  body  of  these  tables  immediately  follow- 
ing the  names  of  the  articles  mdicate  their  size  or  pattern,  taken 
from  the  catalogues  of  the  leading  dental  manufacturers  of  the 
country. 

851.  The  supply  of  expendable  articles  is  estimated  for  six  months. 
852.-  The  articles  listed  in  the  tables  which  are  to  be  furnished  by 

the  surgeon  from  j^ost  supplies,  under  the  provisions  of  paragraph  491, 
are  indicated  by  an  asterisk  before  each  item. 

853.  Plates  are  supplied  by  the  Medical  Department  in  time  of 
war,  when  necessary  for  the  proper  mastication  of  food;  in  time  of 
peace  only  when  the  teeth  were  destroyed  by  a  gunshot  wound  or 
other  traumatic  injury  incurred  in  the  line  of  duty.  In  cases  coming 
under  either  of  the  above  provisions  the  dentist  will  submit  a  letter 
to  the  department  surgeon,  division  surgeon,  or  Surgeon  General,  as 
may  be  appropriate,  requesting  the  plate  or  plates  and  stating  the 
condition  of  the  person  for  whom  they  are  required  and  the  circum- 
stances attending  the  loss  of  the  teeth.     (C.  M.  M.  D.  No.  7.) 

854  PORTABLE  OUTFIT. 

(a)   MEDICINES. 


*Aciclum  sulphurieum,  i.  pound,  in  glass-stopper  bottle bottles. . 

*Acifhim  tannicum,  powder,  3  ounces,  in  wide-mouth  bottle <io — 

Acidiun  trifhloracetiriun,  1  ounce,  in  Klass-stopper  bottle do 

♦Adrenalin  clilnrii],  1-marni.  tablets,  20  in  tube tubes. . 

♦Aethylis  c-hloridum,  3  ounces,  in  metal  tube do 

♦Alcohol,  1  f|\iart,  in  bottle bottles. . 

♦Aqua  hydrOKenii  dioxidi,  1  pound,  in  bottle do 

♦Arpenti  nitras,  crystals,  1  ounce,  in  bottle do 

♦Cliloroformum,  \  "pound,  in  tin tins.. 

*(;o<aiii;c  livdrochloridiun,  \  ounce,  in  wide-mouth  bottle bottles. . 

♦Cocainie  hydrochloridum,  10-mgm.  hypodermic  tablets,  20  in  tube tubes. . 

260 


MANUAL   FOR   MEDICAL    DEPARTMENT,   U.    S.   ARMY.  261 

Portable  outfit — Continued. 

(a)  MEDICINES— Continued. 


*Oollodinm,  1  ounce,  in  bottle bottles. . 

*Cresol,  1  pound,  in  bottle ao 

*Emetinae  liycii-ocliloridiim,  22-mgm.  hypodermic  tablets,  20  in  tube,  as  required tubes. . 

Eugenol,  1  ounce,  in  bottle bottles. . 

*(ilycerimun,  1  pound,  in  bottle do 

*  Liquor  formaldeliydi  (37^  percent),  1  quart,  in  bottle , do 

Mercury,  redistilled,  4  ounces,  in  bottle do 

*Morplii'nae  sulphas.  S-m^ni.  hypodermic  tablets,  20  in  tube tubes. . 

♦Normal  saline  solution,  tablets  (par.  902),  100,  in  wide-mouth  bottle ))Ottles . . 

Novocain,  50-mgm.  hypodermic  tablets  (or  equivalent) tubes. . 

Paral'orm,  compressed  tablets,  Formaeoid  type  (or  equivalent)  fj-giala  tablets,  lOO  In  bottle. bottles. . 
*Phenol,  i  pound ,  in  bottle do 

Phenol,  camphorated,  4  ounces,  in  bottle do 

*Sodii  carbonas  monohydratus,  for  surgical  use,  1  pound,  in  wide-mcnth  bottle do — 

Sodiiun  and  potassiiun,  Iti  sealed  tube tubes.. 

*Spiritus  ammoniae  aromaticus,  ^  pound,  in  glass-stopper  bottle ')ottles. . 

*Thymol,  1  ounce,  in  bottle " ■  -•       -  -do 

*Thymolis  iodidimi  (.Vristol),  1  ounce,  in  bottle do 

*Tinctura  aconiti,  1  ounce,  in  bottle. do 

*Tinctiu-a  iodi,  4  ounces,  in  glass-stopper  bottle do 


(6)    STATIONERY. 


*Bands,  elastic,  assorted  sizes.    (See  par.  S44.) dozen. . 

*Btotters,  hand number. . 

*Books,  blank,  Svo.,  150  pages do 

♦Envelopes,  oilicial,  letter do 

♦Envelopes,  ollicial,  note do 

♦Eraser,  rubber,  typewriter do 

Eraser.  f!t(d do  . . . 

Examination  blanks.  No.  2,  50  in  pad pads. . 

Files,  Sfiannon number. . 

♦Ink,  black,  powder  or  tablets  (sufficient  in  box  for  1  quart  of  fluid) boxes. . 

♦Ink,  red,  2  ounces,  in  bottle bottles. . 

♦Pads,  prescription number. . 

♦Paper,  blotting,  for  desks qunes. . 

♦Paper,  blotting,  small  pieces  for  hand  blotters pieces. . 

♦Paper,  carbon,  letter slieets. . 

♦Paper  fasteners number. . 

♦Paper,  manifolding,  letter,  perforated sneets. . 

♦Paper,  typewriter,  letter do 

♦Paper,  writing,  letter do. . . . 

♦Paper,  writing,  note,  100  sheets  In  pad pads. . 

♦Paste,  photo  and  library jars. . 

♦Pencils,  lead number.. 

♦Penholders do 

♦Pens,  steel - 3°-  •  •  - 

Ruler do.... 


(c)   BOOKS. 

(Contained  in  field  desk.) 


A rmy  Regulations copies. 

Dental  Materia  Medica,  and  Therapeutics  (Prinz) do — 

Dental  Pathology,  Therapeutics,  and  Pharmacology  {Burchard-Inglis) do. . . 

Dentistry,  First-Aid  {Ryan) do. . . 

Dentistry,  Operative  (Johnson) do — 

Handbook  for  Sanitary  Troops  ( Mason) do — 

Manual  for  the  Medical  Department do — 

Oral  Surgery  (Brown) do — 


(d)   BLANK  FORMS. 

(Contained  in  field  desk.) 


Correspondence  book  (supplied  by  Adjutant  General's  Department) number. . 

Dental  engagement  slip.  Form  (iS do 

Invoice  of,  or  receipt  for,  dental  supplies.  Form  31 ao 

Register  of  dental  patients,  card,  Form  79 <|0 

Report  of  dental  work.  Form  57 ^° 

Requisition  for  blank  forms,  Form  37 ao 

Requisition  for  dentalsupphes,  annual.  Form  36 do 

Requisition  for  dentalsupphes,  special^  Form  35 do 


Retum  of  medical  property,  front,  card.  Form  17 

!do'" 
Retiirn  of  medical  property^  back,  card.  Form  17c do. 


Return  of  medical  property,  original.  Form  17o do — 

Return  of  medical  property,  retained.  Form  176  no. . . , 


262  MANUAL    l-Oll    MEDICAL    DEPARTMENT,    U.    S.    ARMY. 

Portable  outfit — Cuntinued. 
(e)   INSTRUMENTS   AND    AI»PL.IANCES. 


Alloy  balance number.. 

Amalgam  carrier,  double  end,  No.  5 do 

Bauds,  fracture,  Angle's,  4  bicuspid  and  2  molar sets. . 

BloiL'er,  chip,  and  hot-air  syringe,  No.  38 number. . 

Blower,  chip,  extra  bulbs  for do 

Boiler,  instrument,  small,  approximately  12  by  6  by  4  inches do 

Bottles,  office,  preparation.  No.  6,  as  required do 

Broach  reamers,  extra  fine,  and  fine,  6  in  package,  of  each packages. . 

Burnishers, L.  H.,  Nos.ZQ, S3, S4-S.36, of  each number.. 

Case,  office,  oak,  preparation,  18  half-ounce  glass-stopper  bottles do 

Case,  office,  preparation,  extra  i-ounce  glass-stopper  bottles  for do 

Chisels,  L.  n.,Nos.  S.SS,  34,  Af,  J^,  48,  of  each do.... 

Clamps,  rubber  dam.  Ivory's,  Nos.  19, 20,  21,  22a,  23a,  56  and  Bi-nap,  of  each do. . . . 

Cleansers,  root  canal,  Donaldson's  or  S.  S.  W.,  No.  5,  all  fine,  6  in  package packages. . . 

Corkscrew,  folding number.. 

Elevators,  Knott's  type,  right  and  left,  metal  handle,  of  each do 

Elevator,  No.  3,  metal  handle do 

Engine,  dental,  all  cord,  with  K3  attachment  for  No.  7  handpiece do 

Engine,  dental,  cable,  "A,"  as  required  1 do 

Engine,  dental,  cable,  "A,"  sheath  for,  as  required  1 do 

Engine,  dental,  cords  for,  extra  (specify  type  of  engine  used) do 

Engine,  dental,  duplex  springs  for,  as  required  1 do 


Engine,  dental,  duplex  springs,  sheath  for,  part  lOX,  as  required  1 do. . 

Engine,  dental,  hand  piece  for  "  M"  contra-angle,  for  slip-joint.  No.  2 do. . 

Engine,  dental,  hand  piece  for  No.  7,  straight,  for  slip-joint.  No.  2 v  •^°,-  • 

Engine,  dental,  lubricating  oil  for,  1  ounce,  in  bottle bottles 

Engine,  dental,  slip-joint  connections  for,  part  C2,  as  required  ' number 

Engine,  dental,  slip-joint  connections  for,  part  F2,  as  required  1 do. . 

Engme  instruments  for  hand  piece, "  M  "  contra-angle: 

Burs,  dentate,  557,  558,  559,  560,  568,  of  each do. ... 

Burs,  fissure,  700,  701,  702,  703,  of  each do 

Burs,  inverted  cone,  33.V,  34,  35,  37,  39,  41,  of  each do 

Burs,plug-fmisliing,200,  202,  221,  ofeach do.... 

Burs,  round,  i,  1,  2,  4,  6,  8,  9,  of  each do.... 

Drills,  100,  103,  ofeach do 

Mandrels,  302,  303  of  each do... 

Mandrels,  Morgan-Maxiield do — 

Points,  carborundmn,  medium  grit,  mounted,  183, 186, 187, 189,  211,  219,  226,  227,  234,  241,  ofeach 

number. . 

Engine  instruments  for  hand  piece  No.  7: 

Burs,  dentate,  5.57,  558,  559.  560,  568,  of  each do 

Burs,flssure,700,  701,  702,703,  ofeach do 

Burs,invertedcone,33.V,  34,  35,  39,  41,  ofeach do 

Biu-s,  plug-fmishing,  200,  202,  221,  of  each do 

Burs,  round,  i,  1,  2,  4,  6,  8, 9,  of  each do.... 

Drills,  100,  103,  ofeach do  .. 

Mandrels,302,  303,  ofeach do... 

Mandrels,  Morgan-Maxfleld do. . . 

Points,  carborundum,  medium  grit,  mounted,  183, 186, 187, 189,  211,  219,  226,  227,  234,  241,  ofeach 

number. 

^icauatow,  bYocV's CM«in^iray«ramen(i,'i,  'l7,  'l9,'21, 23, 34, 37, 39, 49,  SO, 67, S8, 63, 64, 67, 68, 73,  74,  81,  83, 

ofeach  number. 

Explorer's"  L'.'n.','6','6yil','i2,' 18',  of  each do... 

Forceps,  rubber-dam,  clamp.  Brew er's  type j'^'" 

Forceps,  rubber-dam,  punch,  perfected do . . . 

Forceps,  tooth-extracting,  Nos.  10,  16, 18R,  18L,  66, 160,  161,  222,  ofeach do. . . . 

Holder,  for  cotton,  Methot's  type do 

Holder,  for  mercury,  ebony,  No.  2 do 

Holder,  for  nerve  broach.  No.  2 do 

Holder,  rubber-dam,  A  natomik do 

Hone,  oil,  A  rkansas  stone,  in  wooden  box do 

Lamp,  alcohol.  No.  26,  with  flame  shield do 

Lamp,  alcohol,  extra  wicks  for do 

Lancet,  abscess,  metal  handle,  octagon.  No.  6 do 

Lancet,  gum,  metal  handle,  octagon,  No.  2 do 

Mallet,  metal  case.  No.  15 do 

Matrix  retainer.  Ivory's,  No.  1 .- do 

Matrix  retainer,  Ivory^s,  extra  bands  for,  bicuspid  and  molar,  of  each - -uo 

Matrix  strips,  copper,  soft,  J  inch  wide,  36  gauge,  5  in  box,  6  inches  long boxes. . 

Mechanical  dam,  automaton ' number. . 

*Medicuie  droppers dozen. . 

Mirrors,  mouth,  aluminum  handles.  No.  A "," " "  V nuraoer. . 

Mirrors,  mouth,  extra  glasses  for,  magnifying  and  plain,  size  No.  4,  of  each ao 

Mortar  and  pestle,  glass,  No.  2 do 

Pliers,  dressing.  No.  2 9° 

Pliers,  dressing,  No.  17 ao. . . . 

Pliers,  office,  smooth  beak,  No.  122 ^o 

Pluggers,amalgum,  Woodson's,  Nos.  1,2,  3,  of  each QO 

Pluggers,  plastic,  L.  H.,  Nos.  4,28,37,39,  40,40a,  of  each ao.... 

Pluggers,  root-canal,  Donaldson's,  Nos.  2,  4,  6,  ofeach „ ao 

Pots,  medicine,  glass,  Dappen's  green  and  lohite,  of  each ao 

Probes,  silver '^^ 

1  Supplemental  articles  required  to  supply  old-type  cable  foot  engine. 


MANUAL   FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY.  263 

Portable  outfit — Continued, 
(e)  INSTRUMENTS    AND    APPLIANCES— Continued. 

Saw,  dental,  complete,  Gordon  White number. 

Saw,  dental,  Gordon  White,  extra  blades  for do. . . 

Saws,  dental,  ribbon,  f-Lnch,  thin do... 

Scalers,  L.  H.,  Nos.  3,  6,  30,  33,  34,  Jfi,  41,  64,  69,  62,  of  each do. . . 

ScaUrs,  pyorrhea,  as  required do... 

Screw  por'te,  Morrison  Improved  No.  2 do. . . 

Scissors,  gum  J  curved  on  flat,  No.  22 do. . . 

Separator,  adjustable.  Ivory's do. . . 

Shears,  No.  32 do... 

Slab,  mixing,  glaM,  No.  6 do... 

Spatulas,  Nos.  22,  24,  of  each do. . . 

Strips,  celluloid,  thm,  in  boxes  of  100 boxes. 

Syringe,  hypodermic,  denial,  all  metal.  No.  172 A number. 

Syringe,  hypodermic,  all  metal,  extra  needles  for,  Imperial  razor-edge  points,  gauge  24,  straight  and 

curved,  of  each number. 

Syringe,  hypodermic,  extra  needles  for  conductive  anesthesia  (Fischer's  type),  42  mms.  and  23  mms. 

length,  as  required number. 

Syringe,  hjT^odermic,  needles,  42  mms.  and  23  mms.  length,  hubs  for,  as  required do... 

Syringe,  water,  self-filling,  all  metal do. . . 

Syringe,  self-filling,  extra  pipes  for,  ciuved do. . . 

♦Thermometer,  clinical do . . . 

Tool,  u  n iversal do . . . 

Wire,  legature.  Angle's,  No.  187 boxes. 


(/)   FTTRNITURE. 


*Basins,  hand,  e.w number. 

Chairs,  dental,  portable,  metal  frame  in  chest do . . . 

Chest,  empty,  for  dental  engine  (state  type) do. . . 

Chest,  supply,  empty do. . . 

Chest,  instrument,  empty do. . . 

Cuspidor,  nickel-pli^tea.  No.  6 do. . . 

Desk,  field,  dental,  empty do. . . 

Stand,  portable,  complete,  less  table,  for  field  v^e,  Clark's  type do... 

Table,  pressed  steel,  white.  No.  90,  Harvard  type,  table  base  to  fit  Clark's  type  stand .-. do... 


{g)  MISCELLANEOUS. 


Alloy,  copper,  1  oimce,  in  box boxes.. 

Alloys,  to  comply  with  Black's  physical  standards,  1  ounce,  in  bottle bottles. . 

Box,  soap,  metal,' small number. . 

*Brushes,  hand,  fiber do 

Cement,  copper  oxyphosphate,  black boxes. . 

Cement,  oxyphosphate,  colors,  yellow,  white,  Ught-gray,  pearl-gray,  dark-brown,  of  each do 

♦Chamois  skms number. . 

♦Cotton,  absorbent,  in  roll .- .pounds. . 

Cotton,  absorbent,  rolls,  6  inches  long,  f  inch,  i  inch,  f  inch  in  diameter,  100  in  box,  of  each boxes. . 

Cots,  finger ,  rubber dozen . . 

Covers,  paper,  aseptic,  12  by  12,  for  bracket  table,  100  in  box boxes. . 

Cups,  polishing,  soft  rubber,  small '. number. . 

Cups,  tin,  2  in  nest nests. . 

Disks,  bristle,  Nos.  9  and  11,  and  cup  shape,  of  each number.. 

Disks,  carborundum,  knife-edge,  diameter  i,  f,  f,  of  each do 

Disks,  in  boxes,  100  each: 

Sandpaper,  sizes  ^,  f,  f,  grit  00,  as  required do 

Garnet  paper,  sizes  |,  |,  J,  grit  J,  as  required do. .  . 

Emery  paper,  sizes  |,  f,  f,  grit  0,  as  required do... 

Cuttlefish  paper,  sizes  ^,  j,  f ,  grit  fine,  as  required do. .  . 

Fiber,  devitalizing,  arsenical,  m  jar jars. 

Floss,  sUk,  waxed,  24  yards  in  spool spools. 

Oowns,  operating number. 

♦Graduate,  glass,  10-c.  c do. . . 

Gutta-percha,  stopping,  high  heat,  sticks,  jounce  in  box boxes. 

Gutta-percha,  stopping,  temporary,  pink^  sticks,  1  ounce  in  box do. . . 

Modeling  composition,  Perfection  (Detroit),  J  pound  in  box do. . . 

Napkins,  dental^  aseptic,  500  in  box : do . . . 

Paper,  articulatmg,  thin,  in  books books. 

Paper,  bibulous,  Japanese,  100  sheets  in  package packages. 

Paper  points,  absorbent boxes. 

Plaster  of  Paris,  French,  impression,  4  pounds,  in  screw-top  tin tins. 

Points,  root-canal,  gutta-percha,  Nos.  8, 10,  12,  of  each boxes. 

Points,  soft  rubber,  corrugated,  No.  G,  No.  L,  of  each number. 

Pumice  stone,  powdered,  1  pound,  in  screw-top  tin ^.tins. 

Rubber  dam,  plain,  medium,  IS  feet  by  6  inches,  in  sealed  tins do. . . 

Sandarac,  gum,  1  ounce,  in  carton '. cartons. 

♦Soap,  Ivory cakes. 

♦Soap,  scouring pounds . 


264  MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 

Portable  outfit — Continued. 
(g)  MISCELLANEOUS— Continued. 

Stovf,  alcohol,  Dangler  type .number. .  1 

Slrii)s,  polishing,  assorted  grits,  in  boxes boxes..  3 

*  Towd.f,  hand -  -  number. .  60 

♦Tumblers,  glass do 4 

Wheel,  carborundum,  square  edge,  Nos.  301,  302,  304,  305,  of  each do 2 

Wood,  orange,  sticks,  large,  25  in  bundle ..bundles..  2 

The  articles  listed  in  the  tables  which  are  to  be  furnished  by  the 
surgeon  from  post  supplies,  under  the  provisions  of  paragi-aph  491, 
are  indicated  by  an  asterisk  before  each  item.  (Par.  852,  M.  M.  D., 
1916.)     (C.  M.  M.  D.,  Nos.  3  ami  8.) 

855.  BASE   OUTFIT. 

(o)   OFFICE  FURNITURE  AND   EQUIPMENT. 


Anvil,  cast  base number 

A  pron,  rubber do . . 

A  ir  compresser,  unit,  automatic,  electric,  with  tank,  No.  95^ do. . 

Air  compresser,  unit,  automatic:  tubing,  connections,  and  valves,  for,  as  required do. . 

*Bn^':kets,  letter do . . 

*Basket^,  waste  paper do. . 

Bench,  combination,  No.  17,  with  bellows do. . , 

Bookcase  (Globe),  oak,  sectional,  base,  top,  and  units,  for  books,  blanks,  and  records,  as  required,  .do 

*Brooms,  corn do 1 

*  Hrooms,  whisk do 1 

Cabinet,  dintal,  aseptic,  pressed  steel.  No.  610 do 1 

*  Chairs,  arm do 4 

Chairs,  dental  ( Ilajvard,  Diamond,  or  Columbia),  wood  seat  and  back  (white),  as  required do 

*  Chairs,  office,  revolving do 1 

*  Chairs,  rocking do !      2 

*  Clock,  for  office ., do j      1 

Cups,  drinking,  paper,  100  in  box boxe^. . 

Clips,  drinking,  holder  No.  l,for number. . 

*  Cups,  sponge do 

*  Cuspidors do 

Cuspidor,  fountain,  No.  6,  complete  with  saliva  ejector,  floor  connection  for,  and  table  attachment,  white 

enamel number..       1 

Cuspidor,  fountain.  No.  6,  extra  bou'lsfor,  as  required do 

*Desk,  office do... 

Engine,  dental,  electric,  folding  bracket,  all-cord,  with,  -part  K-S,for  hand  piece  No.  7  where  current  is 

available^ number. 

* linuclope  opener do. . . 

Forceps,  crown  slitting do . . . 

Ihater,  electric.  No.  3,  spray  bottles  and  water  glass  i do. . . 

Heater,  electric    No.  S,  cui-off  No.  4,  uitliSfectof  tubing  for  operating  spray  bottles^ do — 

Instrument  boiler,  small,  with  gas  heating  attachment^ do — 

*./ars,  large,  for  dres.sings do 1      2 

*Lnoking-gl<us - do 1 

j\fat,  rubber,  for  dental  chair do j      1 

j\firror,  hand,  bevel,  5-inch '. do 

-Paper  weights do 

J'ort  p'llisher,  contra-angle do 

Port  polisher,  contra-angle,  wood  points  for,  assorted  in  box boxes. . 

Post  puller.  Little  Giant number.. 

Koot  reamer,  Peeso's  Nos.  2  and  3  for  hand  piece  No.  7,  of  each do 

l{o:)t  facer,  safe  side,  Nos.  7,  8,  and  9,  for  hand  piece  No.  7,  of  each do 

\Screen,  bed,  folding,  frames  for,  white  enamel do 

.S/ini/c  bar do 

*Shefls,  cotton,  for  screen do 

*Sfump,  pen'ilty do 

*.'^tn,il,  ri  volning,  white  enamel  (for  laboratory) do 

t^iriichbeiard,  electric,  type  lA do 

Syringe,  hot-air,  electric do 

Syringe,  water,  St  A do 

Syringe,  water,  21  A,  extra  bulbs  for do 

*  tables,  bedside,  white  enamel do 

Table,  pressed  steel,  white,  No.  90.  Harvard  type,  table  base  to  fit  chair  arm do 

Trays,  aseptic,  enamel,  steel,  /2g  by  12^  inches do 

Typewriter do 

Type\vrit«',  record  ribbons  for,  as  required do 

U'ater  cooler,  G  gallons do 


>  Issued  only  to  stations  where  electric  current  is  available. 
2  Issued  only  to  stations  where  gas  is  available. 


MANUAL  FOR    MEDICAL   DEPAETMENT^   U.    S.   ARMY.  265 

Base  outfit — Continued. 
(6)  LABORATORY  EQUIPMENT. 

Articulator,  plain  line mamber. . 

Articulaior,  crown  and  bridge,  No.  5 do 

Blowpipe,  automaton  i do 

Bowls,  plaster,  A  and  B,  of  each do 

Bridge,  repair  set do 

Bridge,  repair  set,  extra  nuts  for do 

Brush,  laboratory,  plain,  stiff  bri^tles^  |  iru;h do 

Burner,  Bunsen's,  dental,  Ko.  12,  with  spider  i do 

Casting  machine,  as  required do 

Chalk,  prepared ,  2  pounds,  in  friction  or  screw-top  tin tins . . 

Cones,  felt,  large,  blunt  and  pointed,  of  each number. . 

Dentimeter,  Kirk's,  No.  2 do 

File,  gold,  flat,  6-inch do 

File,  gold,  rnund,  6-inch ^. do 

Forceps,  mechanical,  clasp-hendingj  No.  8,  McKellon's do 

Gauge ,  plate  and  trire,  B.  &  S do 

Hammer,  swaging,  li-  pounds do 

Investment  compoimd,  3  pounds,  in  tin,  as  required do 

Knives,  plaster,  Nos.  5  and,  10,  of  each jo 

Ladle,  melting.  No.  S do 

Lamp,  alcohol,  large,  Purdy's do 

Lathe,  electric,  including  7  chu-chs  and  bur  ch  uck  2 ..do  — 

Lead,  i-pound  ingots Ingots . . 

Metal,  Jlellett's do ... . 

Molding  compound,  1-pound  tin tins. . 

*Plaster,  for  models,  4  pounds  in  tin do  — 

Pliers, contouring.  No.  115,  Crescent number. . 

Pliers,  contouring),  No.  Hi,  Johnson do 

Pliers,  rou  nd  nose.  No.  107 do 

Rubber,  red pound . . 

Sandpaper,  No.  00  to  1,  of  each sheets. . 

Saw , frame ,  mechanical number. . 

Saw,  frame,  mechanical,  extra  blades  for do  — 

Shears,  Nos.  8,  10,  11,  of  each .' ■-- 4°--- 

Soldenng  and  heating  outfit,  gasoline  generator.  No.  Ifi,  complete,  less  blowpipe  stand  ^ do 

Soldering  appliance,  Mellotvs  improved,  with  blowpipe,  pad,  and  clamps,  complete do 

Spatula,  plaster,  4-inch - do 

Spatula, rubber,  4-inch do 

Tongs,  soldering,  7-inch do 

Trays,  lower  impression,  Nos.  1,3,6,  IS,  17,  S2,  of  each do 

Trays,  upper  impression,  Nos.  1,  S,  6, 18,  I4, 18,  of  each do 

Tubing,  rubber,  4-inch,  heavy  wall,  white feet . . 

Tweezers,  Nos.  B',  C,  D,  E,  L,  of  each number. . 

Vise,  bench ,  jeweler's,  2-inch do 

Wax,  carver  for,  Roach's -do 

Wax,inlav ; boxes.. 

Wa.x,  base"  plate,  pink,  4-pound  box do  — 

\Mieels,brush,  Nos.  3,  5,6,  16,  24,  26,ofeach .....    number 

■Wheels,  carbonmdum,  lathe,  square  edge,  1  and  2  inches  in  diameter, ^inch  width,  gnts  C  and  E ,  of 

each.. number. . 

Wheels,felt','square  edge.  No.  3;  round  edge.  No.  4;  knife-edge.  No.  2;  of  each do — 

^netston£,  carborundum ,  5-inch - do  . .. 

Wire,  binding,  32  gauge spools. 


16 


1  Issued  only  to  stations  where  gas  is  available. 

2  Issued  only  to  stations  where  electric  current  is  available. 

3  Issued  only  to  stations  where  gas  is  not  available. 

(6'.  M.  M.  D.,  No.  3.) 

856.  ADDITIONAL.  ARTICLES. 

The  following  equipment,  in  addition  to  the  articles  listed  under 
paragraphs  854  and  855,  may  be  suppUed  to  general  hospitals  and 
such  important  stations  as  maybe  designated  by  the  Surgeon  General* 


Burnishers,  tantalum,  double-end.  No.  1 .- nurnber. . 

Spatula,  agate  or  bone -do 

Synthetic  porcelain,  Caulk's,  10  shade,  full  portion,  in  box  i boxes. . 

Synthetic  porcelain,  Caulk's,  shade  guide  for numper. . 


i.\fter  the  original  box  has  been  furnished,  only  the  additional  bottles  of  liquid  and  powder  should  be 
asked  for  as  needed. 


266  MANUAL   FOR   MEDICAL  DEPARTMETTT,   U.    S.    ARMY. 

(a)  The  following  articles  may  also  be  supplied,  when  required,  to 
deal  with  exTtraordinary  injuries  of  the  face  and  jaw: 


Anchor  flasks "^T^^ 

Anchor  flasks,  bolts  for ■  ■  ir„r 

Cttspdie  plate,  No.  5 rumber. 

Flask  "box" ^°--- 

Flask  press ■ ^°-  ■  • 

Ladles,  with  handle  (melting),  Nos.  5  and  6,  of  each -.  -<io- -  - 

Lead  (see  Laboratory  equipment),  as  required ingots. 

Molding  rings,  large  and  small,  for  metal  dies,  Bailey  type,  of  each nuniper. 

Molding  sand,  as  required ;  -  -  - ■  i?5' 

Tlate,  German  silver,  B.  &  S.  gauge,  No.  30,  size  6  by  6  inches pieces. 

Rublier,  red,  vulcanite pounds . 

Solder,  silver ;?^ul' 

SwagA  (metal) number. 

Swaging  mallet,  horn h 

Tray,  wooden,  for  violding  sand » ^°-  •  - 

Vulcanite  files,  round  and  half  round,  of  each do. . . 

Vulcanite  scrapers  and  finishers,  Nos.  3,  7,  8,  2S,  27,  of  each do. . . 

Vulcanizer ,  A  flasks,  gas  or  kerosene ;:A„?i;;' 

\Vire,  German  silver,  gauge  12, 16,  and  18,  4-foot  lengths,  of  each lengths. 

Zinc,  i-pound  ingots ingots . 


{C.  M.  M.  D.,  No.  3.) 


2» 


ARTICLE  XIX.     FIELD  SUPPLY  TABLES. 


857.  In  the  following  tables  an  attempt  has  been  made  to  prescribe 
an  equipment  which  will  meet  the  needs  of  the  Medical  Department 
under  actual  campaign  conditions,  and  at  the  same  time  reduce  the 
wheeled  transport  to  the  minimum  consistent  with  efficiency. 

868.  For  units  normally  functioning  in  the  zone  of  the  advance 
supplies  have  been  allowed  on  the  basis  of  replenishment  from  the 
line  of  communications  every  10  days,  as  the  rule,  or  in  extreme 
cases  within  20  days. 

859.  The  needs  of  camp,  evacuation,  and  base  hospitals  vary  to 
such  an  extent  under  different  conditions  of  service  that  the  equip- 
ment tables  for  these  organizations  must  be  considered  as  a  guide 
in  their  organization  rather  than  as  an  iron-clad  rule  for  their 
future  administration. 

860.  The  equipment  designations  used  in  the  following  tables  are 
those  prescribed  in  general  orders.  Equipment  'A"  is  the  equip- 
ment prescribed  for  use  in  campaign,  in  simulated  campaign,  or  on 
the  march.  Equipment  ''B"  is  the  equipment  which,  in  addition  to 
equipment  ''A,"  is  prescribed  for  the  use  of  troops  in  mobilization, 
concentration,  instruction,  or  maneuver  camps,  and  during  such 
pauses  in  operations  against  an  enemy  as  permit  the  better  care  of 
troops.  Equipment  ''C"  is  the  sum  of  equipments  ''A"  and  "B," 
and  therefore  includes  every  article  prescribed  for  field  service. 
Wheeled  transportation  is  provided  for  equipment  "A"  only.  (See 
Appendix,  Equipment:  "A,''  "B,''  and  "C") 

861.  In  order  that  the  responsible  officers  may  be  informed  of  the 
supplies  included  in  the  different  field  units  as  kept  in  store  in  and 
issued  from  the  depots,  and  for  the  convenience  of  organization  com- 
manders, quartermaster  and  ordnance  supplies  have  been  included 
in  the  equipment  tables.  It  should  be  remembered,  however,  that 
in  the  case  of  quartermaster  supplies  the  allowances  as  given  in 
Equipment  Tables,  Q.  M.  Supplies,  will  govern  in  case  of  conflict 
of  statement. 

862.  The  abbreviations  used  under  the  heading  ''Source"  in  the 
different  tables  are  as  follows:  "M"  for  Medical  Department,  "O" 
for  Ordnance  Department,  and  "Q"  for  Quartermaster  Corps. 

863.  Field  supplies  which  are  not  contained  in  chests  or  other  con 
tainers  suitable  for  shipping  will,  as  far  as  practicable,  be  packed  in 
standard  packing  boxes  with  hinged  lids,  hasps,  and  staples.     Each 

267 


268 


MANUAL   FOR   MEDICAL   DEPAETMEISTT,   U.    S.    ARMY. 


box  vnll  have  a  list  of  tlie  contents  on  the  inside  of  the  hd.  It 
should  be  plainly  marked  with  its  serial  number,  its  weight,  and  the 
name  of  the  unit  to  which  it  belongs.  Standard  samples  of  these 
boxes  are  kept  at  the  Field  Medical  Supply  Depot  in  Washington. 

864.      INDIVIDUAL  EQUIPMENT,  MEDICAL  OFFICER. 


Belt,  ueb,  medical  officer's number. 

Case,  instrument  (par.  919) do... 

Ca,sf,  medicine  (par.  920) do... 

Diagnosis  1  ags booKS . 

Flask,  empty,  for  morphine  solution nunijer. 

Syringe,  hypodermic  (par.  956) c  o... 

Syringe,  hypodermic,  extra  needles  for do... 

Thermometer,  clinical do. . . 


C. 


Source. 


Remarks. 


Note. — The  articles  included  in  the  above  list  constitute  special  equipment  carried  only  by  medical 
officers  below  the  grade  of  lieutenant  colonel.  Field  equipment  pertaining  to  officers  in  general  is  given 
in  Uniform  Regulations. 

(C.  M.  M.  D.,  No.  3.) 
865.      INDIVIDUAL   EQUIPMENT,    HOSPITAL   CORPS. 


Article. 


B. 


Source. 


Remarks. 


(a) 

Belt,  web  Hospital  Corps number . 

Belt,  ueb,   Hospital    Corps,  contents  of  (par. 

907) number. 

Can,  condiment number . 

Canteen number. 

Canteen  cover,  dismounted do. . . 

Fork do . . . 

Ha  nd  ax,  Jnjantry  i do . . . 

Hand-ax  carrier do. . . 

Hanger,  canteen do. . . 

Knife do. . . 

Meat  can do. . . 

Pouch  for  diagnosU  tags  and  instruments.. do. . . 

Ration  bags.  Cavalry pairs . 

Shelter  tent  half number. 

Shelter  tent  pole. . . do... 

Shelter  tent  pins do... 

Spoon do . . . 

(6) 

Bar,  mosquito,  single number . 

Bed  sack do... 

Cot.... do... 

Field  kit,  clothing  component  ^ do . . . 

Overcoat do. . . 

Surphis  kit  ^ do... 

Sweater do... 


M 
O 

O 
() 

O 
O 
O 
M 
O 
O 
M 
O 
Q 
Q 
Q 
o 


[Carried  on  belt  when  dis 
moimted;  in  pommel  pock- 
et when  mounted. 


*  1  for  every  2  men. 


Carried    on    the    person    or 

saddle. 
For  winter  use  only, 
("arried  in  surplus  "kit  bag. 
AVhen  prescribed  only. 


'  Detachment  commanders  are  authorized  to  reduce,  by  4  inches,  the  length  of  the  handle  of  the  hand 
ax  issued  to  the  Hospital  Corps  providing  the  change  is"  made  in  a  workmanlike  manner.  The  shorter 
handle  will  be  especially  necessary  for  iLse  by  mounted  men. 

2Tlie  clothing  component  of  the  field  kit"  includes  the  clothing  actually  worn  by  the  soldier  and  that 
carried  on  the  person  or  saddle.  Tliis  is  supplemented  by  the  surplus  kit,  the  two  together  constituting 
the  clothing  component  of  the  service  kit.  The  articles  contained  in  each  of  these  kits  are  given  in  general 
orders.    (See  Appendix,  Clothing  and  Equipment.) 

Note.— The  method  of  packing  the  equipment  for  mounted  and  dismoimted  men  is  described  in  Drill 
Regulations  and  Service  Manual  for  Sanitary  Troops. 


(C.  M.  M.  D.,  Nos.  S  and  7.) 


MANUAL   FOR   MEEffCAL   DEPARTMENT,   U.    S.    ARMY. 


269 


866. 


REGIMENTAL   COMBAT   EQUIPMENT. 


Article. 


B. 


C.      Source. 


Remarks. 


Ax,  short  haridle number. 

Bag,  nose do. . . 

Bag,  water,  sterilizing do  . . 

Box,  pack  mule,  empty,  No.  1  (par.  909) .  .do. . . 

Brush,  horse do. . . 

Bucket,  g.  i do... 

Candles,  lantern do. . . 

Chest,  medical  and  surgical  (par.  932) do. . . 

Comb,  curry do . . . 

Desk,  field,  No.  2  (par.  941) do... 

Guidons,  ambulance^  without  staff. .: do 

Lanterns,  folding do 

Liners,  with  slings: 

Battalion  of  Engineers do. . 

Battalion  of  Signal  Corps do.. 

Regiment  of  Artillery do. . 

Regiment  of  Cavalry do. . 

Regiment  of  Infantry do. . 


Manuals,  Army  Regulations,  etc do  — 

Saddle,  pack  (par.  953) do... 

Surgical  dressings  (par.  955) boxes . 

Surgical  dressings,  ambulance  (par.  954): 

Regiment  of  Artillery do 

Regiment  of  Cavalry do. . . 

Regiment  of  Infantry do... 

Tentage,  heavy: 

Fly,  wall  tent,  small,  with  ropes. .  .number. 

Tent  pins,  small do... 

Wire  cutters do. . . 

Total  weight,  about pounds . . 

Cubic  space,  about feet 


884 
55 


55 


M 


M 
M 


Carried  on  icgimental  field 
train.  (See  Appendix: 
EquipmeiU.i 


There  is  an  aQditiCLial  litter 
in  possession  oi  cd^h  com- 
pany, troop,  and  battery. 
When  on  the  march  not  in 
the  immediate  presence  of 
the  enemy  all  the  litters 
are  carried  on  the  ammu- 
nition wagons.  (See  Tallies 
of  Organization.) 

*  In  field  desk  No.  2. 

Contents  only. 

Carried  on  ammunition 
wagons.  (See  Tables  of 
Organization.) 


[For   infantry.      Figures    for 
'    other  arms  are  somewhat 

I    less. 


867.  The  following  articles  are  not  kept  in  the  depots  as  a  part  of 
the  regimental  combat  equipment,  but  must  be  obtained  by  the 
regimental  surgeon  from  the  proper  supply  department  as  indicated 
for  each  item  under  "Source": 


Article. 


Cover,  mule,  blanket-lined number . , 

Equipments,  horse  (par.  943) do — 

Equipments,  individual  (par.  865) do  — 

Halter  and  strap do — 

Horses,  riding,  for  enlisted  men do  — 

Horses,  riding,  for  officers : do . . . 

Lime,  hypochlorite tubes . 

Muie,  pack number. 

Shoes,  horse,  fitted do... 

Shoes,  mule,  fitted do — 


B. 


Source. 


Remarks. 


For  winter  use  only. 

*  Based  on  Tables  of  Organi- 
zation. 

*  1  for  each  man  of  Hospital 
Corps.  **M.  D.,Q.  M.  C, 
and  O.  D. 

For  pack  mule. 

*  Based  on  Tables  of  Organi- 
zation. 

*  1  for  each  captain  or  lieu- 
tenant not  privately 
moimted. 

*  Replenished  by  Q.  M. 

*  1  fore  and  1  hind  on  each 
mount. 

1  fore  and  1  hind  in  pack. 


Note  —Quartermaster  supplies  for  the  sanitary  personnel,  forage,  rations,  etc.,  are  included  m  the  regi- 
mental allowances  as  published  in  Equipment  "Tables,  Q.  M.  Supplies.  (See  Appendix:  Quartermaster 
Supplies.) 


270 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY. 


868.      METHOD  OF  PACKING  THE  AID  STATION  EQUIP- 
MENT. 

(Carried  on  the  pack  miile.) 


Right  side: 

Medical  and  surgical  chest numoer. 

Left  side:  , 

Ax,  short  handle ^°" ' 

Box,  pack  mule,  No.  1 a'" 

Candles,  lantern a'" 

Guidons,  ambulance,  without  staff do. . . 

Lanterns,  folding , -do. . . 

Lime,  hypochlorite tubes . 

Shoes,  mule,  fitted number. 

Surgical  dressings,  box  of  (contents  only) do. . . 

Wire  cutters do. . . 


Top: 


Bag,  nose ^° 

Bag,  water,  sterihzmg do 

Brush,  horse do 

Bucket,  galvanized  iron do 

Comb,  curry do. . . . 

Fly,  wall  tent,  small ; do 

Tent  pins,  small -  - do 


Total  weight . 


Pounds. 
100 


Pounds. 
100 


32 


Note  —If  under  exceptional  circumstances  the  pack  mule  is  required  to  keep  pace  with  fast  moving 
cavalry,'  the  pack  will  have  to  be  lightened  by  dispensing  with  the  top  load,  otherwise  sore  back  and 
e.xhaustion  of  the  mule  are  almost  certain  to  occur. 


869. 


CAMP  INFIRMARY. 


Article. 


C.     Source. 


Remarks. 


MEDICINES  AND  ANTISEPTICS. 

Foot  powder  (par.  902) tins. 

Iodine  swabs,  6 in  a  box boxes.. 

Spiritus  ammonise  aromaticus,   J  pound  in 
glass-stopper  bottle bottles . 


MISCELL-\NEOTJS. 

Alcohol,  denatured,  2  quarts,  in  tin tins . 

Bag,  water,  sterilizing number . 

Basins,  hand do... 

Buckets,  galvanized  iron do. . . 

Candles pounds. 

Case,  emergency  (par.  913) number. 

Chest,  medical  and  surgical  (par.  932) do. . . 

Chest,  medical  and  surgical,  supplementary  (par 

933) number. 

Corks,  No.  2  150 in  a  bag bags. 

Desk,  field.  No.  ^  (par.  941) number. 

Fhig,  distinguishing,  lied  Cross do. . . 

Flag,  halyards  for,  50  feet do. . . 

Flag,  national,  storm do. . . 

Flag,  staff  ] or,  complete do. . . 

Food,  box  of  (par.  948)* do. . . 

Guidon,  ambulance,  with  staff do. . . 

Lanterns,  tvithont  globes  or  wicks do. . . 

Lanterns,  globes  for,  green do. . . 

L&ncerns.  globes  for,  white do. . . 

Lanterns,  wicks  for dozen. 

Litters,  with  slings number. 

Rope,  f-inch feet 

Soap,  Ivory cakes 

Spade number 

Store,  alcohol do. . 

Surgical  dressings  (par.  955) boxes 

Tent,  wall,  complete number 

Towels,  hand dozen 

Twine,  coarse pounds 

Venereal  prophylaxis  unit  (par.  958). .  .number 
Vials,  1-ouucc dozen 

Total  weight pounds 

Cubic  space feet 


100 
100 


2 
1 
3 

4 

2 
1 
1 

1 
1 
1 
1 
2 
1 
1 
1 
1 
2 
2 
4 
1 
2 
100 
10 

1 
1 

f 


100 
100 


2 
1 
3 

4 

2 
1 
1 

1 
1 

1 
1 
2 
1 
1 
1 
1 
2 
2 
4 
1 
2 
100 
10 

1 
1 

2 
1 
2 
1 
1 
6 


Other  medicines  and  anti- 
septics are  contained  in 
the  chest,  medical  and 
surgical;  in  the  case,  emer- 
gency; and  in  the  venereal 
prophylaxis  unit.  See  he- 
low  under  Miscellaneous. 


1  quartermaster   bucket  on 
wagon. 


*  For  emergency  use  only. 


840 
41 


840 
41 


MANUAL   FOR   MEDICAL   DEPARTMENT^    U.    S.    ARMY.  271 

870.  The  following  articles  are  not  kept  in  the  depots  as  a  part  of 
the  camp  infirmary  equipment,  but  must  be  obtained  from  the  proper 
supply  department  as  indicated  for  each  item  under  "Source:" 


Article. 


Covers,  mule,  blanket-lined number. . 

Equipments,  individual,  Hospital   Corps  (par. 
865),  number. 

Equipments,  individual,  Quartermaster   Corps, 

number. 
Lime,  liypochlorite tubes. . 

yriilcs,  draft numbei . . 

Oil,  mineral quarts . . 

Shoes,  mule,  litted number. . 

Waijon,  escort,  and  harness,  complete do 


B. 


C. 


Source. 


Remarks. 


For  winter  use  only. 

Based  on  Tables  of  Organiza- 
tion.   *M.   D.,  Q.   M.  C, 
and  O.  D. 
Do. 

♦Replenished  by  camp  quar- 
termaster. 

Do. 

For    list,    see     Equipment 
Tables,  Q.  M.  Supplies. 


NoTK.— Heavy  tentage,  forage,  and  other  similar  camp  supplies  for  use  of  the  personnel  and  animals 
of  the  camp  infirmary  are  not  included  in  the  above  Ust  as  they  will  be  provided  for  camp  use  by  the 
ambulance  company  or  other  orgamzation  to  which  the  infirmary  is  attached  for  rations  and  forage  (par. 

660). 

CAMP  INFIRMARY  RESERVE. 

871.  The  articles  Hsted  below  do  not  form  a  part  of  the  regular 
equipment  of  the  camp  infirmary,  but  when  a  camp  infirmary  is  serv- 
ing with  divisional  troops  imder  conditions  which,  in  the  opmion  of 
the  division  surgeon,  make  it  necessary  or  desirable  to  have  within 
the  division  an  additional  supply  of  medicines  and  dressings  for  the 
sanitary  troops  on  duty  with  fine  organizations  or  for  the  infirmaries 
themselves,  the  following  articles  will  be  procured  on  requisition  and 
carried  on  each  camp  infirmary  wagon.     (See  par.  633  6.) 

These  supplies  belong  in  equipment  "A." 

MEDICINES   AND   ANTISEPTICS. 


Acidum  boricum,  324-mgm.  tablets,  700  in 
12-ounce  tin tins. . 

Acidum  salicylicum,  324-mgm.  tablets,  400 
in  12-oimcetin tins.. 

Alcohol,  3  pints  in  tin do 

AmyUs  nitris,  5-drop  spirets,  12  in 
box boxes . . 

Apomorphinae  hydrochloridum,  6-ragm. 
hypodermic  tablets,  20  in  tube. .  .tubes. . 

Argenti  nitras,  crystals,  1-ounce  in  bot- 
tle  bottles . . 

Argenti  nitras  fusus,  1  ounce  in  bot- 
tle    bottles . . 

Aspirin,  324-mgm.  tablets,  500  in  bot- 
tle  bottles. . 

Capsicum,  32-mgm.  tablets,  600  in  3-ounce 
tin tins.. 

Chloralum  hydratum,  324-mgm.  tablets, 
400  in  bottle bottles. 

Cocainae  hydrochloridum,  10-mgm.  hypo- 
dermic tablets,  20 in  tube tubes. . 

Codeina,  32-mgm.  tablets,  600  in  3-ounce 
tin tins . . 

Collodium,  1  ounce  in  bottle bottles. . 

Emplastrum  belladonnae,  2  yards  by  6 
inches  in  tin tins . , 

Foot  powder  (par.  902),  J  pound  in  tin  with 
perforated  cover tins . . 

Glycerinum,  3  pints  in  tin tins . 

Hexamethvlenamina  (Urotropin),  324- 
mgm.  tablets,  600  in  12-ounce  tin.  -tins. . 


Hydrargyri  chloridum  corrosivum,  tablets 
(antiseptic)  (par.  902),  250  m  bot- 
tle  bottles . . 

Hydrargyri  chloridum  mite,  32-mgm.  tab- 
lets, 1,000  in  bottle bottles. . 

Hydrargyri  iodidum  flavum,  lOmgm.  tab- 
lets, 750  in  3-ounce  tin tins . . 

Ichthyolum,  3  ounces  in  wide  mouth  bot- 
tle  bottles . . 

Iodine  swabs,  6  in  box boxes . . 

lodum-potassii  iodidum,  in  tubes,  .tubes. . 

Linimentum  rubefaciens,  tablets  (par.  902) 
200  in  12-ounce  tin tins. . 

Magnesii  sulphas,  3  pounds  in  tin. .  .do 

Mistura  glycyrrhizae  composita,  tablets 
(par.  902),  3,600  in  12-ounce  tin tins.. 

Morphinae  sulphas,  8-mgm.  hypodermic 
tablets,  20  in  tube tubes. . 

Morphinae  sulphas,  8-mgm.  tablets,  600  in 
3-ounco  tin tins . . 

Normal  saUne  solution  tablets  (par.  902), 
150  in  12-ounco  tin tins . . 

Oleum  ricini^  3  pints  in  tin tins. . 

Oleum  terebmthinae  rectificatum,  3  pints 
in  tin tins.. 

Petrolatum,  in  12-ounce  tin do — 

Phenol,  ^  pound  in  bottle bottles. . 

PhenvUs  saUcv'as  (Salol),  324-mgm.  tab- 
lets" 500  in  bottle bottles. 

Pilulac  aloini  compositae  (or  tablets)  (par. 
902),  750  in  3-x)unco  tin tins . . 


10 

2 

2 

2 

20 

200 

2 
5 

1 

«8 

1 

1 
4 

2 
8 
3 

1 

1 


272 


MANUAL   FOR    MEDICAL  DEPARTMENT,   U.    S.    ARMY. 


Medicines  and  antiseptics — Continued. 


Piliil;ve  comphorae  ct  opii  (or  tablets)  (par. 
902),  875  in  12-ounce  tin tins . . 

Pilulae  catliarticae  compositae  (or  tablets) 
1,200  in  12-ounce  tin tins . . 

Pilulae  fcrri  compositae  (or  tablets)  (par. 
902),  1,200  in  12-ounce  tin tins . . 

Plumbi  acetas,  130-mgm.  tablets,  600  in  3- 
ounce  tin tins . . 

Potassii  bromidum,  324- mgm.  tablets,  500 
in  bottle bottles . . 

Potassii  chloras,  324-mgm.  tablets,  1,200  in 
12-ounce  tin tms . . 

Potassii  iodidum,  324-mgm.  tablets,  500  in 
bottle bottles. . 

Potassii  permanganas,  324-mgm.  tablets, 
1,200  in  12-ounce  tin tins. . 

Protargol  (or  equivalent),  1  ounce  in  bot- 
tle  bottles . . 

Pulvisipecacuanhaeet  opii,  324-mgm.  tab- 
lets, 700  in  12-ounce  tin tins . . 

Quininae  hydrochlorosulphas,  32-mgm. 
hypodermic  tablets,  20  in  tube. .  .tubes. . 

Qui'iiinae  sulphas,  200-mgm.  tablets,  1,000 
in  12-ounce  tin tins . . 

Sapo  mollis  (green  soap),  J  pound  jar  in 
case JS'i's . . 

Sodii  bicarbonas,  324-mgm.  tablets,  1,000 
in  12-ounce  tin tins . . 

Sodii  bicarbonas  et  mentha  piperita,  tab- 
lets (par.  902),  1,000  in  12-ounce  tin. tins. . 


Sodii  carbouas  monohydratus,  for  surgical 
use,  I  poimd  in  12-iOunce  tin tins. . 

Sodii  salicylas,  324-mgm.  tablets,  (KX)  in  12- 
ounee  tin tins . . 

Spiritus  ammoniae  aromaticus,  i  pound 
in  glass  stopper  bottle bottles . . 

Strychninae  sulphas,  1-mgm.  hypodermic 
tablets,  20  in  tube tubes. . 

Sulphur  lotum,  J  pound  in  12-ounce 
tin tins . . 

Thymolis  iodidum  (Aristol),  1  ounce  in 
bottle bottles . . 

Tinctura  digitaUs,  0.3  c.  c.  tablets,  800  in 
3-ounce  tin tins . . 

Tinctura  opii,  ^  pound  in  bottle .  .bottles. . 

Tipchisci  aramonii  chloridi,  350  in  12- 
ounce  tin ' tins. . 

Unguentum  hydrargvri,  4  pound  in  wide 
mouth  bottle bottles. . 

Unguentum  hydrargyri  chloridi  mitis,  30 
per  cent,  ^  pound  in  wide  mouth  bot- 
tle  bottles.. 

Veronal,  324-ragm.  tablets,  100  in  3-ounce 
tin,  or  equivalent tins. . 

Zinci  oxidum,  powder,  J  pound  in  12-ounce 
tin tins . . 

Zinci  sulphas,  324-mgm.  tablets,  250  in  3- 
ounce  tin tins. . 


2 

2 

8 

36 

1 

2 

1 
4 

4 

1 

2 
2 
1 
1 


MISCELLANEOUS. 


Alcohol,  denatured,  2  quarts  in  tin.  .tins. . 
First-aid  packets  (par.  944)> number. 


Individual       dressing      packets       (par. 

949) number. . 

Surgical  dressings  (par.  955) boxes . . 


1,000 
4 


Weight  1,050  pounds.    Cubic  space  42  feet.  '       .     ,     .^^  ^,  ^  •     j-    v  too 

Note.— The  medicines  and  antiseptics  listed  above  are  identical  with  those  contained  m  boxes  1,  2,  3, 
and  4,  of  the  field  hospital  (par.  879). 

(C.  M.  M.  D.,  No.  3.) 

REGIMENTAL  HOSPITAIi. 

872.  The  regimental  hospital,  complete,  consists  of  one  camp 
inlinuary  equipment  (pars.  869  and  870)  and  the  additional  articles 
named  below.     (See  pars.  632  and  657.) 


Article. 


STATIONERY. 

Paper,  manifolding,  letter,  500  sheets  in  pack- 
age, packages. 

Paper,  manifolding,  letter,  perforated,  500 
sheets  in  package,  packages. 

Paper,  typewriter,  letter,  500  sheets  in  package, 

_  packages. 

BLANK    FORMS,    MEDICAL    DEPARTMENT    (PAR. 
961).» 

Nos.  51  and  51a,  of  each number. . 

No.  516 do. . . . 

No.  .52 do.... 


MISCELLANEOUS. 


liars,  mosquito number. . 

Bars,  mosquito,  frames  for pairs. . 

Bars,  mosquito,  spreaders  for  frames... numhcr. . 

Bedpan,  enamel  ware  or  agate  ware do 

Bed  sacks do 

Blankets,  gray number. . 


A.        B.        C.      Source. 


6 
12 

100 


6 
12 

100 


[Used  only  in  time  of  peace  or 
when  the  regimental  hos- 
pital is  being  operated  as  a 
camp  hospital.  See  pars. 
427  and  575. 


These  should  be  supple- 
mented if  necessary  by 
usuig  the  blankets  from  the 
patients'  individual  equip- 
ments. 


1  AVhen  regimental  hospitals  are  issued  intact  this  list  will  govern,  but  such  other  forms  as  may  be  neces- 
sary will  be  fumi.shod  subsequently  as  required. 


MANUAL   FOE,   MEDICAL   DEPARTMENT,    U.    S.    ARMY. 


273 


Article. 


MISCELLANEOUS — Continued. 

Blankets,  rubber do — 

Brooms,  corn do — 

Brushes,  scrubbing do — 

Buckets,  enamel  loare,  S  in  nest nests., 

Cdics,  bedding,  large,  empty number. 

Chest,  mess  (par.  934) do — 

Chest,  sterilizer  (par.  935) do — 

Corks,  assorted,  300  in  bag bags. 

Cots number. 

Cotton,  absorbent,  in  rolls pounds. 

Gauze,  plain,  in  5-yard  roll rolls. 

Pail,  commode  (close  stool) number. 

Pajamas,  coats do... 

Pajamas,  trousers do. . . 

Paper,  toilet packages . 

Pillow  sacks number. 

Pins,  common papers . 

Pins,  safety,  3  sizes dozen. 

Plaster,  adhesive,  z.  o.,  5  yards  by  1  inch, 

spools. 
Bange,  field,  No.  2 number. 

Sheeting,  rubber yards . 

SpUnts,  wire  gauze  for rolls. 

Tentage,  heavy: 

Canvas,  latrine  screen number. 

Tents,  hospital,  complete do... 

Towels,  bath do. . . 

Twine,  coarse pounds. 

Typewriter number. 

Typewriters,  record  ribbons  for do. . . 

Urinals do. . . 

Vials,  1-ounce dozen. 

Vials,  2-ounce do. . . 

Weight,  without  infirmary pounds. 

Weight  of  infirmary do. . . 

Total  weight do... 

Cubic  space,  without  infirmary feet. 

Cubic  space  of  infirmary do. . . 

Total  cubic  space feet. 


850 
1,730 


B. 


840 


62 


1,720 
850 


2,570 


108 
42 


liemarls. 


As  containers   for  bedding, 
pajamas,  etc. 


For  contents  sec  Equipment 
Tables,  Q.  M.  Supplies. 


See  Note  below. 


None  of  the  articles  listed 
in  par.  870  are  included 
in  these  figures  except 
mineral  oil. 


Note.— Heavy  tentage  and  other  quartermaster  supplies  for  the  use  of  the  sanitary  persomiel,  forage 
rations,  etc.,  are'included  in  the  regimental  allowances  as  published  in  Equipment  Tables,  Q.  M.  SuppUes. 

873.     WEIGHT   CARRIED  BY    CAMP   INFIRMARY   WAGON. 

(Exclusive  of  driver  and  his  individual  equipment.) 


(a)  Camp  Infiemary  Proper. 


Supplies  as  listed  in  pars.  869  and  870 

Sergeant  iu  charge,  and  his  indi\'idual  equipment . 

Grain,  4  mules,  3  days 

Rations  (see  par.  660) 


Total  weight . 


(6)  With  Reserve  Supplies. 


Camp  infirmary  proper 

Reserve  supplies  (par.  871) . 


Total  weight 

(c)  With  Additional  Supplies  for  Regimental  Hospital. 


Camp  infirmary  proper 

Equipment  "A"  (par.  872)' 


Total  weight . 


Pounds. 
850 
180 
108 


1,138 

1,138 
1,050 

2,188 

1,138 

880 

2,018 


1  If  transportation  for  medical  officers'  baggage,  tentage,  forage,  etc.,  is  provided  by  the  regimental  field 
train  as  required  by  Field  Service  Regulations,  equipment  "  B "  (par.  872)  may  also  be  carried  without 
exceeding  the  ma.ximum  load  for  one  wagon. 


70156°— 18- 


-18 


274  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

AMBULANCE   COMPANY. 

874.  The  following  articles  are  kept  on  hand  in  the  Medical  Depart- 
ment depots  and  will  be  shijiped  intact  on  an  approved  requisition 
for  ''one  ambulance  company  equipment  (par.  874,  M.  M.  D.)." 
Subsequent  requisitions  for  replenishment  of  these  supplies  must, 
however,  be  forwarded  to  the  proper  supply  department  as  indicated 
for  each  item  under  ''Source." 


Article. 


<a)  Medicines  and  Antiseptics. 

Foot  powder  (par.  902),  i  pound  in  tin, 

tins. 

Iodine  swabs,  6  in  box boxes. . 

Spiritus  ammoniie  aromaticus,  J  pound 

in  glass-stopper  bottle,  bottles. 

(6)  Stationery. 
(See  also  par.  875.) 

Paper,  carbon,  letter,  100  sheets  in  a  box, 

boxes. 
Paper,  manifolding,  letter,  500  sheets  in 

package,  packages. 
Paper,  manifolding,  letter,  perforated, 

500  sheets  in  package,  packages. 
Paper,  typewriter,  letter,  500  sheets  in 

package,  packages. 
Stamp, penalty, rubber,  with  pad,  number. 

(c)  Mkcellaneous. 

Alcohol,  denatured,  2  quarts  in  tin. tins. 

Ax,  short  handle number. 

Axes,  with  helves do. .. 

s,  nose do . . . 


Bags,  water,  pack  mule pairs . 

Bag,  water,  sterilizing number. 

Basins,  hand do. . . 

Blanluts,  gray do... 

Blankets,  rubber do. . . 

Boxes,  pack  mule,  empty,  Nos.  Z,  S,  4,  5,  6, 
7,  and  8  (par.  909)  of  each,  number. 

Brooms,  corn number . 

Brooms,  stable do.. . 

Brush,  horse do. . . 


Brush,  marking. . . , do. 

Brushes,  scrubbing do. 

Buckets,  galvanized  iron do. 

Buckets,  galvanized  iron do . 


Bugles,  with  sHng do. . . 

Candles,  lantern pounds. 

Carborundum  wheel,  with  fixtiores,  num- 
ber. 
Cases,  bedding,  small,  empty. .  .number. 

Case,  emergency  (par.  913) do. . . 

Case,  pocket,  farrier's do . . . 

Chest,  medical  and  surgical  (par.  932)do. . 
Comb,  curry do.. . 


B. 


C. 


100 


T>.  S.i  Source. 


Remarks. 


Other  medicines  and  anti- 
septics are  contained  in  the 
chest,  medical  and  surgical; 
in  the  ease,  emergency;  and 
in  the  surgical  dressings, 
boxes  of  (pars.  954  and  955). 


Other  Medical  Department 
stationery,  includmg  Man- 

•  uals.  Army  Regulations, 
etc.,  is  contained  in  desk, 
field.  No.  2. 


1  additional  on  each  wagon. 
4  additional  on  each  wagon 

and  each  amlmlance. 
*Used    at    dressing    station 

when  necessary. 
For    use    with    chlorinated 

Ume. 

2  basins,  rubber,  in  medical 
and  surgical  chest. 

*Taken  to  dressing  station  if 
conditions  demand. 
Do. 


For  pack  mules.  1  additional 
on  each  wagon  and  each 
ambulance. 


1  additional  on  each  wagon 
and  each  ambulance. 


1  The  supplies  hsted  under  this  heading  comprise  that  part  of  the 
lishing  the  dressing  station. 


Containers  for  blankets. 

See  Note  1. 

For  pack  mules.  1  additional 
on  each  wagon  and  oscta 
aiuluilance. 

A"  equipment  which  is  used  in  estab- 


MANUAL   FOR   MEDICAL   DEPARTTVIENT,   U.    S.   ARMY. 


275 


Article. 


(c)  Miscellaneous— Continued. 

Cooking  utensils: 
March  kit — 

Cake  turner number. . 

Cans,  water,  nested clo — 

Cleaver do 

Dipper,  large do 

Fire  irons sets. . 

Fork,  meat,  large number. . 

Kettles,  camp,  u'ith  covers. .  -do 

Knife,  meat,  large do 

Pans,  bake do 

Corks,  No.  7,  for  alcohol  tins do 

Desk,  field,  iVb.  2  (par.  9-11 ) do. . . . 

First-aid  packets  (par.  944) do 

Flag,  distin{/uislihvi.  Red  Cross do 

Flag,  halyards  for,  oO-foot do 

Flag,  national,  storm do 

Flaff,  statffor,  complete do 

Flash  light,  electric,  complete do 

Plash  light,  electric,  batteries  for. .  do 

Flash  light,  electric,  lamps  for do 

Food,  ambulance  boxes  of  (par.  947)  .do 

Food,  boxes  of  (-par.  US) do 

Forge,  portable do 

Forks,  stable do... 

Globes,  lantern  (see  Lanterns,  globes  for) 
Guidons,     ambulance,     without     staff, 

number. 
Guidon  and  standard  carrier number. 

Head  nets,  mosguito do 

Horseshoer's  emergency  equipment,  .do. . . 
Individual  dressing  packets  (par.  949), 
number. 

Iron,  bar,  assorted pounds . 

Irons,  branding,  hoof ,  set number. 

Jack,  wagon do. . . 

Lampblack pounds. 

Lanterns,  without  globes  or  wicfcs.number 
Lanterns,  without  globes  or  wicks —  do . . . 


Lanterns,  folding do. . . 

Lanterns,  globes  for,  green do. . . 

Lanterns,  globes  for,  white do . . . 

Lanterns,  globes  for,  white do . . . 

Lant eriLs,  wicks  for do . . . 

Lanterns,  wicks  for do... 

Leather,  harness,  black pounds. 

Litters,  canvas  for pieces. 

Litters,    tacks    for,    75    in    package, 

packages. 
Litters,  w ith  slings number. 

Marking  outfit,  for  leather,  model  1910, 

niunber. 
Marking  outfit,  for  metal,  model  1910, 

number. 
Matches,  safety boxes. . 


Medicines   and    dressings,    veterinary, 

pounds. 

Nails,  assorted pounds. . 

Nails,  horseshoe do 

Needles,  harness,  assorted papers.. 

on,  sperm pmts.. 

Pannier,  veterinary number. . 

Paper,  toilet packages.. 

Paulin,  large number . . 

Pickaxes,  with  helves do 

Pistol  ball-cartridges,  caliber  .45,  model 

1911,  number. 
Pistol  belts,  model  1912,  without  saber  ring, 

number. 

Pistol  holsters number. . 

Pistols  automatic,  caliber  4^,  model  1911, 

number. 

Pistols,  magazinesfor,  extra number.. 

Pot,  marking do — 

Rakes,  steel do — 

Range,  field,  No.  1,  complete do 

Kivets    and    burrs,    copper,    assorted, 

poimds. 


1 
2 
1 
1 
1 
1 
.3 
1 
5 
24 
1 
500 
1 
2 

1 
1 

10 
30 
20 
12 

3 
1 


1 
1,000 


2 
252 


D.  S. 


1 

2 

1 

1 

1 

1 

3 

1 

5 

24 

1 

500 

1 

2 

1 

1 

10 

30 


S 
1 
1,000 

60 
1 
1 
1 
5 
3 


75 

33 

7 

1 

1 

10 

1 

6 

252 

12 

12 
12 

24 
1 
4 
1 


Source. 


6 

M 

M 

M 

Q. 

Q. 

U. 

M 

10 

M 

30 

M 

20 

M 

M 

2 

M 

Q 

Q 

20 


Remarks. 


Additional  cooking  utensils 

are    contained    in    range 

No.  1. 
1   wall  tent   fly  is  allowed 

for  kitchen  purposes.    See 

Tentage,  heavy. 


To  be  used  only  for  sick  and 
wounded. 
Do. 


1  guidon  with  staff  on  each 

ambulance. 
May  be  used  with  saddle  of 

anv  model. 


See  Note  1,  par.  875. 


1  additional  on  each  wagon 
and  2  additional  on  each 
ambulance. 


For  repair  of  Q.  M.  harness. 
For  repair  of  litters. 
Do. 

4  additional  on  each  ambu- 
lance. 


*12  in  each  ambulance  box  of 

food. 
See  Note  1,  par.  875. 

Do. 

Do. 

Do. 

1  additional  on  each  wagon. 


Note  1,  par.  875. 
Do. 


276 


MANUAL   FOR    MEDICAL    DEPAETMENT^   V.    S.    AEMY. 


Article. 


D.  S.    Source. 


Remarks. 


(c)  Miscellaneous— Continued. 

Rope,  picket-line,  f- jncfi feet . 

Rope,  |-iiich do... 

Saildks,  pack  (par.  95.3) number. 

Shoes  horse  and  mule,  extra: 

Ilorse pounds. 

Mule do... 

Soap,  Ivory cakes. 

Spades number. 

Spoons,  scrvinj do. . . 

Sttncil outfit do. . . 

Stick,  size,  shoe do. . . 

Stoves,  alcohol do. . . 

Stretcher,  shoe do. .. 

Surgical  dressings  (par.  955) boxes. 


Surgical     dressings,     ambulance     (par. 

954) boxes . 

Tags,  diagnosis books. 

Tape  measure,  foot number. 

Tcntagc,  heavy: 

Canvas,  latrine  screen do. . . 

Flics,  wall  tent,  small,  with  ropes, 
number. 

Fly,  wall  tent* number . 

Tent  pins,  small,  extra do. . . 

Tents,  pyramidal,  large,  complete, 
number. 

Tents, ivaU, small, complete. number. 

Thread,  saddler's,  assorted pounds. 

Tools,  farrier's  and  blacksmith's: 

Kit* number. 

Set do... 

Tools,  saddler's: 

Kit* number. 

Set do... 

Tools,  rvheelwright's  and  carpenter's: 

Kit* number. 

Set do... 

Towels,  dish do. . . 

Towels,  hand do. . . 


Twine,  poar.=!e pounds. 

Typcicritir number. 

Tyjie writers,  record  ribbons  for do. . . 

Wax,  saddler's pounds. 

Wire  cutters number. 


205 

150 

i 

18 
64 
IS 
2 
2 


3G 
128 


205 
150 

4 

51 
192 

18 
6 
2 
1 
1 
2 
1 

12 


Q 
M 
Q 
M 
O 
Q 
M 
Q 
M 

M 
M 
Q 


AVeight,  packed pounds. .  5, 840 

Cubic  space,  packed feet. .     280 


4,400 
210 


10, 240 
490 


w 


1  additional  on  each  wagon. 
For  marking  cloth  or  canvas. 


In  time  of  peace  only  4  boxes 
will  be  taken  into  the  Held. 
(See  par.  6336.) 


*10  in  each  box  of  surgical 
dressings  (par.  955). 


''For  kitchen. 


See  Note  1,  par.  875. 

Do. 
f*Part  ofset. 
l^*Less  kit. 
See  Note  1,  par.  875. 
r*Part  ofset. 
^*I,ess  ki*. 
See  Note  1,  par.  875. 
r*  Part  ofset. 
L*Less  kit. 

6  additional  in  medical  and 
surgical  chest. 


One  additional  on  each  am- 
bulance. 

/These  figures  include  12  boxes 
\    surgical  dressings(par.955). 


C.  M.  M.  D.  No.  3.) 


MANUAL  FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY, 


277 


875.  The  following  articles  are  not  kept  in  store  by  the  Medical 
Department.  In  organizing  an  ambulance  company,  or  in  making 
subsequent  requisitions  for  replenishment,  these  articles  must  be 
obtamed  from  the  proper  supply  department  as  indicated  for  each 
item  under  ' '  Source . " 


Article. 


A mbuliuiccs,  wotor number. 

A  mbulavccs,  with  har7itss,  complete  Ao. . . 


Bags,  surplus  kit do. . . 

Baricr  kit do. . . 

Calks,  toe,  horseshoe do. . . 

Candles .' pounds. 

Coal,  smitlung do. . . 

Covers,  mule,  blanket-lined number. 


EquipmtnU,  horse  (par.  94-3) do 

Equiv-menU,  individual.  Hospital  Corps 
(par.  8b5),  number. 

Equipments,    individual,    Quartermaster 
Corps,  number. 

Forage 


Guidon,  ambulance  company  {bunting) 

ivith  staff,  number. 
Halters  and  straps number. . 


Horses,  riding,  for  enlisted  men. .  .do. 
Horses,  riding,  for  officers do. 


Lime,  hypochlorite tubes. . 

Matches  safety boxes . . 

Ifules,  draft number. . 

Ifules,  pack do 

Oil,  mineral gallons. . 

Oil,  neat's-foot pints. . 

Rations: 

Field number. . 

Reserve do 

Salt,  rock pounds. . 

Shoes,  horse  and  mule,  fitted: 

Horses,  riding number. . 

Mules,  draft do — 

Mules,  pack do  — 

Soap pounds . . 

Stationery,  field  desk,  allowance 

Stoves,  tent,  with  pipe  and  other  accessories. 


Wagons,  escort,  with  harness,  complete, 
number. 


50 

24 

60 

4 

*36 


15 

36 

240 

8 
16 


D.S.i    Source. 


36 
240 


Remarks. 


}M 


Tentative  only. 

See  Note  1.  There  should  be 
4  Medical  Department  lit- 
ters on  each  ambulance. 

*Based  on  Tables  of  Organi- 
sation. 

♦Purchased  from  company 
fund.    See  Note  1. 

*SuppUed  when  necessary. 

*10  days'  supply.  See  Army 
Regulations.  **See  Note  2. 

For  -vnnter  use  only.  Addi- 
tional covers  on  wagons 
and  ambulances. 

*Based  on  Tables  of  Organi- 
zation. 
*1  for  each  man  of  Hospital 
Corps.    **M.  D.,  Q.  M.  C, 
and  O.  D. 

*1  for  each  man  of  Quarter- 
master   Corps.    **M.    D., 
Q.  M.  C,  and  O.  D. 

*See  Armv  Regulations  and 
Field  Service  Regulations. 
**See  Note  2. 


For  peck  mules.  4  addi- 
tional on  each  wagon  and 
each  ambulance. 

*Based  on  Tables  of  Organi- 
zation. 

*1  for  each  captain  or  lieu- 
tenant not  privately 
mouiUed. 

*See  Note  2. 
Do. 


*10      days"     supply.    **See 

Note  2. 
*See  Note  2. 

^See    Field    Service    Regula- 

■tions.    **See  Note  2. 
*See  Note  2. 

1  fore  and  1  hind  on  each 

mount. 
4  fitted  shoes  in  wagons  and 

ambulances  tor  each  mule. 
1  fore  and  1  hind  in  each  pack. 
*See  Note  2. 
*See  Note  1. 
When  prescribed  only.    *For 

allowance,  see  Equipment 

Tables  Q.  M.  SuppUes. 
Do. 


1  The  supplies  listed  under  this  heading  comprise  that  part  of  the  "  A  "  equipment  which  is  used  in  estab- 

lishine;  the  dressing  station.  ,    „      .  ^  ^  v,,       r\   T.r  cr^^^^^ 

Note  1  —For  list  of  contents  consult  Equipment  Tables,  Q.  M.  bupplies.  n,^      ^  ,•+•  „„i 

Note  9  _\io  days'  sunply  of  this  article  will  be  taken  to  the  field  by  orgamzations.     The  adrhtional 

amount  autiionzed  by  regulations  for  camp  use  will  be  furnished  by  the  camp  quartermaster. 


278 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 


876.  If  an  ambulance  company  is  to  be  entrained,  with  personnel 
and  transportation  at  war  strength  and  "C"  supplies  complete,  a 
railway  train  composed  of  3  tourist  (or  standard)  sleeping  cars  (or 
1  tourist  sleeper  and  1  day  coach),  1  kitchen  car,  1  baggage  (or  box) 
car,  5  standard  stock  cars,  and  5  flat  cars  will  be  required. 

NoTB. — In  making  calculations  for  transportation,  the  capacity  of  average  cars  of 
different  classes  may  be  taken  as  follows:  Pullman,  28  officers;  tourist  sleepers,  42 
men;  day  coaches,  54  men,  allowing  3  men  to  each  2  seats  (for  short  journeys  72  men 
may  be  carried*;  stock  cars,  18  to  20  animals;  box  cars,  40,000  to  80,000  pounds,  but 
in  most  cases  the  load  will  be  limited  by  the  bulk  (ordinary  box  car  is  36  x  8  x  8  feet, 
2,304  cubic  feet);  flat  cars,  3  wagons  or  3  ambulances,  or  6  ambulances  knocked  down 
but  tops  not  removed. 

877.  Articles  used  in  camp  only,  such  as  garbage  cans,  crude  oil, 
lime,  straw,  etc.,  are  supplied  by  the  camp  quartermaster  and  will 
not  be  taken  to  the  field  by  organizations.  The  allowances  are 
specified  in  Equipment  Tables,  Q.  M.  Supplies. 

878.  METHOD  OP  PACKING   THE  DRESSING  STATION  EQUIPMENT. 


Eight  side: 

Medical  and  surgical  chest. 


Mule  No.  1. 


.number..  1 


Left  side: 

Ax do... 

Box,  pack  mule,  No.  2 do 

Alcohol,  denatured. tins. , 

Basins,  hand number. . 

Calcium  carbide tins. , 

Candles poiuids. . 

Corks,  extra,  for  alcohol  tins number. . 

Guidons,  without  stall do 

Lamps,  acetylene do 

Lanterns,  folding " do 

Lime,  hypochlorite tubes. . 

Paper,  toilet packages. . 

Rope,  I  inch.'. feet. . 

Soap,  Ivory cakes. . 

Tent  pins,  short number. . 

Twine,  coarse Iialls. 

Wire  cutters number. . 


Top: 


Buckets,  galvanized-iron do 6 

Bags,  water,  pack  mule pairs. .  1 


Total  weight. 


Mule  No.  2. 
Right  side: 

Box,  pack  mule,  No.  3 number..  1 

Surgical  dressings,  box  of  (contents  only) do 1 

Towels,  hand do 6 

Left  side: 

Box,  pack  mule,  No.  4 do 1 

Surgical  dressings,  box  of  (contents  only) do 1 

Towels,  hand do 0 


Top: 


Blankets,  gray do G 

Blankets,  rubber do 3 


Total  weight. 


Mule  No.  3. 
Right  side: 

Box,  pack  mule,  No.  5 number..  1 

Surgical  dressings,  box  of  (contents  only) do 1 

Towels,  hand do 6 


Pounds. 
100 


Pounds. 
100 


100 


92 


50 


92 


1  The  water  bag  should  be  carried  in  the  top  bucket. 
to  the  bag  will  result. 


If  it  is  wrapped  around  the  buckets  serious  injury 


MANUAL   FOR   MEWCAL   DEPARTMENT,   U.    S.    ARMY,  279 

Method  of  packinf]  the  dressing  station  equipment — Continued. 


Mule  No.  3— Continued. 
Left  side: 

Box,  pack  mule,  No.  6 number..  1 

isurjiical  dressings,  box  of  (contents  only) do 1 

Towels,  hand do 6 


Top: 


Blankets,  p:ray do 6 

Blankets,  rubber do 3 

Total  weight 


Mule  No.  4. 
Eight  side: 

Box,  pack  raule.  No.  7 number. .  1 

Bucket,  galvanized-iron do 1 

Food,  bo.\  of  (contents  only) do 1 

Spoon,  serving do 1 

Stove,  alcohol do 1 

Left  side: 

iox.  pack  mule,  No.  8 do 1 

"       ■     "■  ■       ..  1 

.  1 

.  1 

.  1 


Bucket,  galvanized-iron do 

Food,  bo.x;  of  (contents  only) do. . 

Spoon,  serving do. . 

Stove,  alcohol do. . 


Top: 


Tent  flies,  wall,  small do 2 

Total  weight 


Pounds. 
30 
60 


Pounds. 


92 


50 


106 


106 
34 


246 


Note  1. — On  the  march,  not  in  the  presence  of  the  enemy,  blankets,  both  woolen  and  rubber,  are 
habitually  carried  on  the  ambulance  company  combat  wagon.  On  long  marches,  mider  similar  condi- 
tions, the  other  top  loads  may  also  be  carried  in  an  accessible  place  on  the  comlsat  wagon.  When  the 
dressing  station  party  is  about  to  separate  from  the  wheeled  transportation  the  top  loads  of  mules  Nos. 
1  and  4,  and  if  necessary  those  of  mules  Nos.  2  and  3,  may  be  quickly  put  in  place  on  the  mules. 

Note  2. — As  the  weights  of  the  boxes  are  changed  by  expenditure  of  their  contents,  readjustment  must  be 
made  in  order  to  maintain  the  right  and  left  loads  of  each  mule  at  approximately  the  same  weight.  Sore 
backs  will  certainly  be  produced  if  this  precaution  is  neglected. 

FIELD   HOSPITAL. 

879.  The  following  articles  are  kept  on  hand  in  the  Medical  Depart- 
ment depots  and  will  be  shipped  intact  on  an  approved  requisition 
for  "one  field  hospital  equipment  (par.  879,  M.  M,  D.)."  Subsequent 
requisitions  for  replenishment  of  these  supplies  must,  however,  be 
forwarded  to  the  proper  supply  department  as  indicated  for  each 
item  under  ''Source." 


Pack- 
age 
No.i 


Article. 


A. 

B. 

C. 

2 

2 

1 

1 

* 

* 

24 

24 

18 

18 

2 

2 

6 

6 

Source. 


Remarks. 


(a)  Medicines  and  antiseptics. 

Acidum  boricum,  324-mgm.  tablets,  700 

in  12-oimce  tin,  tins. 
Acidum  salicylicuni,  324-mgm.  tablets, 

400  in  12-ounce  tin,  tins. 
AdrenaUn  chlorid,  1-mgm.  tablets,  20  in 

tube,  tubes. 

Aether,  1  pound  in  tia tins. . 

Alcohol,  3  pints  in  tin do 

Amylis  nitris,  5-drop  spirets,  12  in  box, 

boxes. 
Apomorphinae     hydrochloridum,     6- 

mgm.  hypodermic  tablets,  20  in  tube, 

tubes. 


1  additional  in  supplemen- 
tary chest. 
Do. 

*5  in  each  medical  and  surgi- 
cal chest. 

1 12-0 imce  bottle  in  each  med- 
ical and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

3  additional  in  each  medical 
and  surgical  chest. 


1  As  shipped  from  the  supply  depots  the  boxes,  bundles,  and  other  packages  conprising  the  "A"  equip- 
ment of  the  field  hospital  are  numbered  from  1  upward  in  a  suigle  series.  So  far  as  practicable  this  method 
of  packing  should  lie  continued  in  the  field.  To  fuid  any  of  the  smaller  articles  it  will  then  only  be  necessary 
to  refer  to  the  serial  number  of  its  container  as  given  in  this  column. 


280 


MANUAL    FOR    MEDICAL   DEPARTMENT^    U.    S.    ARMY. 


Article. 


A. 


Source. 


Remarks. 


(a)  MEDICDTOS  AND  ANTLSEPTICS— CoD. 

Argenti  nitras,  crystals,  1  ounce  in  bot- 
tle, bottles. 

Argenti  nitras  fusiis,  1  ounce  in  bottle, 
bottles. 

Argyrol,  1  ounce  in  bottle bottles.. 

Arseni  trioxidum,  1-mgm.  tablets,  500 
in  3-ounce  tin,  tins. 

Aspirin,  324-mgm.  tablets,  500  in  bottle, 
bottles. 

Atropinae  sulphas,  0.65-mgm.  hypoder- 
mic tablets,  20  in  tube,  tubes". 

Bismuthi  subnitras,  324-mgm.  tablets, 
700  in  12-ounce  tin,  tins. 

CaSeina  citrata,  65-mgm.  tablets,  250  in 
bottle,  bottles. 

Capsicum,  32-mgm.  tablets,  600  in  3- 
ounce  tin,  tins. 

Chloralum  hvdratum,  324-mgm.  tablets, 
400  in  bottle,  bottles. 

Chioroformum,  i  pound  in  tin tins. . 


Cocainae  hydrochloridtim,  10-mgm.  hy- 
podermic tablets.  20  in  tube,  tubes." 

Codeina,  32-mgm.  tablets,  600in  3-oimce 
tin,  tins. 

CoUodium,  1  otmce  in  bottle. .  .bottles. . 

Digitalinum,  1-mgm.  hypodermic  tab- 
lets, 20  in  tube,  tubes. 

Emetinae  hydrochloridum,  22-mgm. 
hypodermic  tablets,  20  in  tube,  tubes. 

Emplastrum  belladonnae,  2  yards  by  6 
inches  in  tin,  tins. 

Emplastrum,  cantharidis,  1  yard  by  6 
inches  in  tin,  tins. 

Foot  powder  (par.  902),  }  poimd  in  tin 
with  perforated  cover,  tins. 

Glycerinum,  3  pints  in  tin tins. . 

Hexamethylenaraina  CUrotropin),  324- 
mgm.  tablets,  600 in  12-oimce  tin,  tins. 

Hvdrargvri  chloridum  corrosivum,  i  ab- 
lets (antiseptic)  (par.  902),  250  in  bot- 
tle, bottles. 

Hvdrargvri  chloridum  mite,  32-mgm. 
tablets,  IjOOO  in  bottle,  bottles. 

Hydrargyn  iodidum  llavnm,  lO-mgm. 
tablets,  750  in  3-otinre  tin,  tins. 

Hvoscinae  hydrobromidum,  0.65-mgm. 
hypodermic  tablets,  20  in  tube,  tubes. 

lehthTolum,  3  ounces  in  wide-mouth 
bottle,  bottles. 

Todine  swabs,  G  ia  box boxes . . 

lodum-potassii  iodidiun,  in  tube, 
tubes. 

Liniraentum  rubefaciens,  tablets  (par. 
902),  200  in  12-oimco  tm,  tins. 

Magnesii  sulphas, 3  pounds  in  tin.. tins  . 

Mistiira  glvcvrrhizae  composita,  tab- 
lets (par."  902),  3,600  in  12-ounce  tin, 
tins. 

Morphinae  sulphas,  8-mgm.  hypoder- 
mic tablets,  20  in  tube,  t  tibes." 

Morphinae  sulphas,  S-mgm.  tablets,  600 
in  3-oimce  tin,  tins. 

Nitroglycerin,  0.6.5-mgm.  hypodermic 
t  ablets,  20  in  tube,  tubes. 

Normal  saline  solution  tablets  (par. 
902),  150  in  12-oiuire  tin,  tins. 

Oleum  ricini,  3  pints  in  tin tins . . 

Oleum  terebint hinac  rcctilicatum,  3 
pints  in  tin,  tins. 

Olc'tim  theobroiaatis,  l  poimd  in  12- 
ounce  tin,  tins. 

Petrolatum,  in  12-oiuicotin tins.. 


1 

2 
144 


20 
200 


1 

2 

144 


20 
200 


1  additional  in  supplemen- 
tarv  chest. 
Do. 

*1  in  supplementary  chest. 
Do. 

1  additional  in  supplemen- 
tary chest. 

*7  in  each  medical  and  siu-gi- 
cal  chest. 

*2  in  each  medical  and  surgi- 
cal chest. 

*1  in  supplementary  chest. 

1   additional  in  supplemen- 
tary chest. 
Do. 

3  additional  in  each  medical 
and  siu-gical  chest,  12  addi- 
tional in  supplementary 
chest. 

7  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

2  additional  in  supplemen- 
tary chest. 

*5  in  each  medical  and  surgi- 
cal chest. 
Do. 

1  additional  in  supplemen- 
tary chest. 
*1  in  supplementary  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

i  pint  additional  in  supple- 
mentary chest. 
Do. 

1  tin  additional  in  each  medi- 
cal and  sm-gical  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

*3  ineach  medical sind surgi- 
cal chest. 

1  additional  in  supplemen- 
tary chest. 

20  additional  in  each  medical 

and  surgical  chest. 
1  additional  in  each  medical 
and  surgical  chest. 
Do. 
Do. 


45  additional  in  each  medioal 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

*S  in  each  medical  and  surgi- 
cal citest. 

1  additional  in  supplemen- 
tarv  chest. 

Do. 
Do. 

*  1  in  supplementary  chest. 

2  additional  in  each  medical 
and  sm-gical  chest. 


MANUAL   FOR    MEDICAL   DEPARTMENT,   U.    S.    ARMY. 


281 


Pack- 
age 
No. 


Article. 


(a)  MEDICINES  AND  ANTISEPTICS— Con. 

Pkcnol,  J  pound  in  bottle bottles. . 


Phenvlis   salicvlas    (Salol),   32'1-mgm. 

tablets,  500  in  bottle,  bottles. 
Pilulae  aloini  compositae  (or  tablets) 
(par.  902),  750  in  3-oimce  tin,  tins. 
Pilulae  camphorae  et  opii  (or  tablets) 

(par.  902),  875  in  12-oimce  tin,  tins. 
Pilulae  catbarticae  compositae  (or  tab- 
lets), 1,200  in  12-ouiicc  tin,  tins. 
Pilulae  ferri  compositae   (or  tablets) 
(par.  902),  1,200  in  12-oimce  tin,  tins. 
Plumbi  acetas,  1.30-mgm.   tablets,   600 

in  3-ouuce  tin,  tias. 
Potassii  bromidum  324-mgni.  tablets, 

COO  in  bottle,  bottles. 
Potassii  chloras,  324-mgm.  tablets,  1,200 

in  12-ounce  tin,  tins. 
Potassii  iodidum,  324-mgin.  tablets,  500 

in  bottle,  bottles. 
Potassii  permanganas,  324-mgm.  tablets, 

1,200  in  12-ounce  tin,  tins. 
Protargol  (or  equivalent),  1  ounce  in 

bottle,  bottles. 
Pulvis  ipecacuanhae  et  opii,  324-mgm. 

tablets,  700  in  12-o\uice  tin,  tins. 
Quininae  hydrochlorosulphas,  32-mgm. 
hypodermic  tablets,  20  in  tube,  tubes. 
Quininae  sulphas,  200-mgni.   tablets, 

1,000  in  12-ounce  tin,  tins. 
Sapo  mollis  (green  soap),  i-pound  jar  in 

case,  jars. 
Scrum  antidiphthericum,  as  required.. 

Scrum  antitetanicum,  as  required 

Sodii   bicarbonas,   324-mgm.    tablets, 

1,000  in  12-ounce  tin,  tins. 
Sodii  bicarbonas  et  mentha  piperita, 
tablets  (par.  902),  1,000  in  12-ounce  tin, 
tins. 
Sodii  carbonasmonohydratus, for  surgi- 
cal use.  i  pomid  in  i2-ounce  tin,  tins. 
Sodii  salicylas,  324-mgm.  tablets,  600  in 

12-ounce  tin,  tins. 
Spiritus  ammoniae  aromaticus,  J  pound 

in  glass-stopper  bottle,  bottles. 
Spiritus  frumenti,  1  quart  in  bottle, 

bottles. 
Strychninae  sulphas,  1-mgm.  hjT)oder- 
'  niic  tablets,  20  in  tube,  tubes. 
Sulphur  lotum,  J  pound  in  12-ounce  tin, 

tins. 
Thymolis  iodidum  ( Aristol),  1  ounce  in 

bottle,  bottles. 
Tinctura  digitalis,  0.3  c.  c.  tablets,  800 

in  3-ounce  tin,  tins. 
Tinctura  opii,  i  pound  in  bottle. bottles. 
Trochisci  ammonii  cliloridi,  360  in  12- 
ounce  tin,  tins. 
Unguentum  hydrargyri,  *  pound  in 

wide-mouth  bottle,  bottles. 
Unguentum  hydrargyi  chloridi  mitis, 
30  per  cent,  \  pound  in  wide-mouth 
bottle,  bottles. 

Vaccine,  smallpox,  as  required 

Vaccine,  typhoid,  as  required 

Veronal,  324-mgm.  tablets,  100  in  3- 

ounce  tin,  tins,  or  equivalent. 
Veterinary  medicines.    (Sse  Medicines, 

veterinary,  under  Miscellaneous.) 
Zinci  oxidum  powder,  A  pound  in  12- 

ounc-^  tin,  tins. 
Zinci  sulphas,  32t-mgm.  tablets,  250  in 
3-ounce  tin,  tins. 


20 


B. 


12 


Source. 


Remarks. 


20 


36, 


M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 

M 
M 
M 


M 

M 

M 

M 

M 

M 

M 

M 

M 
M 

M 

M 


1  additional  in  each  medical 
and  surgical  chest,  and  4 
additional  in  sterilizer 
chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  each  medical 
and  surgical  chest. 

1   additional  in  supplemen- 
tary chest. 
Do". 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

Do. 

1  additional  in  each  medical 
and  surgical  test. 

1  additional  in  supplemen- 
tary chest. 

10  additional  in  each  medical 
and  surgical  chest. 

3  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  sterilizer 
chest. 


1  additional  in  supplemen- 
tary chest. 
Do. 


Do. 

1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  supplemen- 
tary chest. 

J  pint  additional  in  supple- 
mentary chest. 

20  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

Filled  sprinkler  in  each  med- 
ical and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 
Do. 

Do. 

1  additional  in  each  medical 
and  surgical  chest. 


1  additional  in  supplemen- 
tary chest. 

Do. 
Do. 


282 


MANUAL   FOR   MEDICAL   DEPARTMENT^   U.    S.   ARMY. 


Article. 


A. 


B. 

C. 

Source. 

* 

M 

* 

M 

* 

M 

2 

M 

* 

M 

* 

1 

M 

1 

M 

1 

M 

1 

M 

1 

M 

1 

M 

* 

M 

1 

M 

10 

M 

* 

M 

* 

M 

8 

Q 

6 

M 

2 

Q 

3 

M 

15 

M 

* 

M 

4 

M 

2 

M 

20 

M 

1 

M 

220 

M 

280 

M 

144 

M 

* 

M 

10 

M 

48 

M 

4 

4 

Q 

1 

1 

Q 

24 

M 

1 

1 

Ci 

3 

3 

Q 

2 

M 

24 

M 

2 

4 

Ci 

2 

Q 

Remarks 


(6)  Stationery. 

(See  also  par.  880.) 

Books,  blank,  8-vo number. . 

Books,  note,  manifolding,  4  6y  C  inches, 
binders,  number. 

Books,  note,  manifolding,  4  by  6  inches, 
fillers,  number. 

Labels  for  vials gross. . 

Labels,  poison dozen. . 

Manuals,  A  rmy  Regulations,  etc 


Paper,  carbon,  letter,  100  sheets  in  box, 

boxes 
Paper,  manifolding,  cap,  250  sheets  in 

package,  packages. 
Paper,  manifolding,  letter,  500  sheets  in 

package,  packages. 
Paper,  manifolding,  letter,  perforated, 

.OOO  sheets  inpackage,  packages. 
Paper,  typewriter,  cap,  250  sheets  in 

package,  packages. 
Paper,  typewriter,  letter,  500  sheets  in 

package,  packages. 
Stamp,    penalty,    rubber,    with    pad, 

number. 

(C)   MiSCELI  ANEOUS. 

Acdylene  Ught  and  heat  unit  (par.  927) 

number. 
Alcohol,  denatured,  2  quarts  in  tin, 

tins. 
Aprons,  rubber number. 


Atomizer,  hand do. . . 

Axes,  with  helves do. . . 

Bags,   rubber,  hot  water  and   syringe, 
number. 


Bags,  tvattr,  sierilizing number. 

Bandages,  flailnel, 3-inch  roller.. dozen. 

Bandages,  gauze,  compressed,  3  sizes,  1 
gross  in  box,  boxes.  • 

Bandages,  plaster  of  Paris,  3-inch)i  indi- 
vidual packets,  dozen. 

Bandages,  rubber,  Martin number. 


;,  suspensory dozen . 

Basins,  hand number. 


Bedpans,  box  of  (par.  906) do. . . 

Bedsackn •- do. . . 

Blankets,  gray do.. . 

Blankets,  rubber do. . . 

Bougies,  flexible,  dVos.  11,  13, 16, 17,  20, 

22,  French  scale,  number. 
Boxes,  folding,  for  tablets gross. 

Boxes,  ointment,  3  in  nest nests- 

Brooms,  corn number . 

Broom,  stable do. . . 

Brushes,  hand,  fiber do. . . 


Brush,  marking do. . 

Brushes,  scrubbing do. . 

Buckets,  enamel  ware,  3  in  nest... ntsts 

Buckets,  gatvanizod-iron number 

Buckets,  gnlvanized-iron do. . 

Bugles,  with  sling ^..do.. 


1 

220 
280 
144 


*1  in  each  medical  and  surgi- 
cal chest. 

*5  in  field  desk  No.  1,  1  in 
each  medical  and  surgical 

*10  in  field  desk  No.  1,  1  in 

each  medical  and  sm'gical 

chest, 
i   gross  additional  in  each 

medical  and  surgical  chest. 
*3  dozen  in  each  medical  and 

surgical  chest. 
♦Contained    in    field    desk 

No.  1. 
1  box  in  field  desk  No.  1. 


*1  in  field  desk  No.  1. 


*2  in  each  medical  and  stu-gi- 
cal  chest,  6  in  sterilizer 
chest. 

*1  in  supplementary  chest. 

1  additional  on  each  wagon. 

1  additional  in  each  medical 
and  surgical  chest,  2  addi- 
tional' m  supplementary 
chest. 

For  use  with  calcium  hypo- 
chlorite. 

6J  dozen  additional  in  each 
medical  and  surgical  chest. 

*J  dozen  iu  each  medical  and 
surgical  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

1  dozen  additional  in  supple- 
mentary chest. 

2  basins,  iiibber,  in  each 
medical  and  surgical  chest, 
and  4  in  sterilizer  chest. 

In  5  large  bedding  cases. 
In  14  large  bedding  cases. 
In  8  small  bedding  cases. 
*()  in  supplementary  chest. 

1  gross  additional  in  each 
medical  and  siwgical  chest. 

8  additional  in  each  medical 
and  surgical  chest. 


6  additional  in  each  medical 
and  surgical  chest,  and  6 
additional  in  sterilizer 
chest. 


1  additional  on  each  wagon. 


MAIS-UAL   FOR   MEDICAL   DEPARTMEIfT,   U.    S.    ARMY. 


283 


Pack- 
age 
No. 


Article. 


26 

84 
51-69 
70-80 

27 
27 

27 


36-37 
38 


23-24 
18-19 


43 

22 

84 
84 
84 
81 
8-15 


20-21 

28 

25 
25 

83 


(c)  Miscellaneous— Continued. 

Candles pounds. . 

Canvas,  12.4  ounces yards . . 

Cascn,  bedding,  large,  empty... mimber.. 

Cases,  bedding,  small,  empty do. . . . 

Cases,  emergencii  (par.  913) do 

Cases,  forceps,  hemostatic  (par.  915), 
number. 

Case,  general  operating  (par.  916), 
number. 

Ca^es,  operating,  small  (par.  922), 
number. 

Case,  pocket,  farrier's number  - 

Cases,  tooth  citracting,  SJorceps  in  can- 
vas roll,  number. 

Catheters,  flexible,  assorted,  Ms.  IS,  17, 
18,  20,  22,  24,  French  scale,  number. 

Cement,  ambroid ounces . . 

Chest,    cooking    utensils     (par.     929), 

number. 
Chests,  medical  and  surgical  (par.  932), 

number. 
Chest,  medical  and  surgical,  supplement 

tary  (par.  933),  number. 

Chest,  sterilizer  (par.  935) nvunber. . 

Chest,  tableware  (par.  936) do. 


Chest,  tool,  No.  t  (par.  938) do. . . 

Cooking  utensils: 
March  kit — 

Cake  turner do. . . 

Cans,  toater,  nested do  - . . 

Cleaver do . . . 

Dipper,  large do... 

Fire  irons sets. 

Fork,  meat,  large number. 

Kettles,  camp,  with  covers. do.. . 

Kn  ife,  meat,  large do. . . 

Pans,  bake do. . . 

Corks,  assorted,  300  in  bag bags. 

Corkscrews ^ number. 


Cotton,  absorbent,  in  roll pounds. 

Cotton,  absorbent,  sterilized,  in  1-ounce 

package,  packages. 
Cups,  enamel  ware number. 


Desk,  field,  No.l  (par.  940) do.... 

Eye  shades,  single do — 

First-aid  packets  (par.  944) do — 

Flag,  distinguishing.  Red  Cross . .  .do — 

Flag,  halyards  for,  50  feet do — 

Flag,  national,  storm do. . . 

Flag,  staff  for,  complete do. . . 

Food,  boxes  of  (par.  948) do. . . 


Forks,  stable do — 

Fu7inels,  agate  umre do 

Gauze,  sublimated,  2  half-yard  lengths 

in  package,  packages. 
Globes,  lantern.    (See  Lanterns,  globes 

for.) 
Gloves,  rubber,  sizes  8  and  9 pairs. . 


Graduate,  glass,  100  c.  c number . 

Graduate,  glass,  250c.  c do... 

Guidons,  ambulance,  with  staff — do. . . 
Guidon  and  standard  carrier. .  .number. 


Head  mirror,  in  case do — 

84      Head  nets,  mosquito do . . . 

22     Individual  dressing  packets  (par.  949), 
I      number. 


20 
800 


100 
1 
2 
1 
1 


750 


C.      Source. 


5 

M 

4 

Q, 

19 

M 

11 

M 

2 

M 

3 

M 

1 

M 

* 

M 

1 

Q. 

* 

Ai 

12 


100 
1 
2 
1 
1 


2 

* 

750 


16 


200 


Remarks. 


M 


Q 


For  repair  of  tents. 
Containers  for  bedding,  etc. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

*1  in  each  medical  and  sur- 
gical chest. 

See  Note  1,  par.  880. 

*1  in  each  medical  and  sur- 
gical  chest. 

*3  in  each  medical  and  sur- 
gical chest,  6  in  supple- 
mentary chest. 

For  repair  of  tents 


In  case  of  necessity,  to  be 
supplemented  by  the  uten- 
sils pertaining  to  patients' 
individual  equipments. 

Additional  cooking  utensUs 
are  contained  in  range  No. 
1,  furnished  by  the  Quar- 
master  Corps,  and  in  the 
chest,  cooking  utensils, 
furnished  by  the  Medical 
Department. 

One  wall-tent  fly  is  allowed 
for  kitchen  purposes.  (See 
Tentage,  heavy.) 

1  additional  in  supplemen- 
tary chest;  1  in  each  med- 
ical and  surgical  chest. 

26  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  each  medieal 
and  surgical  ehest.  and  2  in 
supplementary  chest. 

*6  in  supplementary  chest. 


♦Contents  purchased  from 
hospital  fimd  when  practi- 
cable.   (See  par.  948.) 

*1  in  sterilizer  chest. 
40  additional  in  each  medical 
and  surgical  chest. 

2  pairs  additional  in  each 
medical  and  surgical  chest, 
and  8  additional  in  steri- 
hzer  ehest. 

1  additional  in  supplemen- 
tary chest. 

May  be  used  with  saddle  o£ 

any  model. 
*1  in  supplementary  chest. 
For  the  guard. 


284 


MANUAL   FOK   MEDICAL    DEPARTMENT,    U.    S.    ARMY. 


Tack- 
aTO 
No. 


Article. 


A. 


B. 


c. 

Source. 

2 

M 

32 

Q 

1 

Q 

1 

Q 

20 

M 

3 

Q 

3 

M 

26 

M 

3 

Q 

2 

M  . 

3 

Q 

32 

Q 

6 

M 

12 

M 

20 

M 

1 

0 

1 

0 

6 

M 

12 

M 

12 

M 

9 

Q 

* 

M 

15 

M 

* 

M 

75 

Q 

22 

Q 

* 

M 

4 

Q 

4 

M 

36 

M 

36 

M 

* 

M 

60 

M 

1 

Q 

* 

U 

C 

Q 

* 

M 

20 

M 

40 

M 

252 

0 

12 

0 

12 

0 

12 

0 

24 

0 

24 

M 

12 

M 

1 

Q 

3 

f-l 

1 
* 

'A 

* 

M 

3.2 

Q 

125 

* 

S 

20 

M 

* 

M 

Remarks. 


46-50 

26 

25 
25 
84 

28 


30 


S4 


29 


(c)  Miscellaneous— Contnued. 

Inhalers,  cliloroform,  Esmarch,  wilh  drop 
bottles,  number. 

Iron,  bar,  assorted pounds. 

Jack,  wagon number. 

Lampblack pounds. 

Lanterns,  without  globes  or  tvkks,  num- 
ber. 

Lanterns,  without  globes  or  wicks.. io. . . 

Lanterns,  globes  for,  green do. . . 

Lanterns,  globes  for,  white do. . . 

Lanterns,  globes  for,  white do... 

Lanterns,  wicks  for dozen. 

Lanterns,  ■wicks  for number. 

l^eather,  harness,  black po>inds. 

Litters,  canvas  for pieces. 

Livters,  tacks  for,  75  in  package,  pack- 
ages. 

Litters,  with  slings number. 

Markiiig  outfit,  for  leather,  model  1910, 
number. 

Marking' outfit,  for  metal,  model  1910, 
numbw. 

Matches,  safety,  boxes dozen. 


Medicine  droppars number . 

Medicine  glasses do. . . 

Medicines  and  dressings,  veterinary, 

poimds. 
Mortars  ani  pestles,  porcelain,  7  cm., 

number. 

Muslin,  unbleached yards . 

Nails ." 


Nails,  assorted pounds. . 

Nails,  horseshoe do 

Needles,  common,  assorted papers. . 

Needles,  harness,  assorted do — 

Needles,  surgical,  assorted dozen. . 

Pajamas,  coats number. . 

Pajamas,  trousers do 

Paper,  litmus,  blue  and  red,  100  strips 
in  vial,  of  each,  vials. 

Paper,  toilet packages. . 

Paulin,  large number. . 

Pencils,  hair,  1  dozen  in  vial vials . . 

Pickarcs,  with  helves number . . 

Pill  tile,  hard  rubber do 

Pins,  common papers. . 

Pins,  safety,  3  sizes dozen. . 

Pistol  ball-cartridges,  caliber  .45,  model 

1911,  number. 
Pistol  belts,  model  1912,  without  saber 

ring,  number. 

Pistol  holsters number . . 

Pistols, automatic, caliber  .45, model  1911, 

number. 
Pistols,  magazines  for,  extra. .  .number. . 
Plaster,  adhesive,  z.  o.,  S  yards  by  1 

inch,  spools. 
Plaster,  adhesive,  z.  o.,  5  yards  by  2\ 

inches,  spools. 

Pot,  marking number. . 

Rakes,  steel do 

Range,  field.  No.  1,  complete do  — 

Razors do — 

Razors,  strops  for do  — 

Rivets   and   burrs,  copper,  assorted, 
pounds. 

Rope,  picket  line,  J-iJict feet. . 

Scissors number . . 

Sheeting,  rubber yards. . 

Sickle number. . 


50 


2 
* 

20 

40 

252 

12 

12 
12 

24 
24 


l.G 
125 


1  additional  in  each  medical 
and  surgical  chest. 


1  additional  on  each  wagon. 


For  repair  of  Q.  M.  harness. 
For  repair  of  litters. 
Do. 


0  bo.xes  additional  in  each 
medical  and  surgical  chest; 
6  boxes  in  sterilizer  chest. 

6  additional  in  supplemen- 
tary chest. 

1  additional  in  each  medical 
and  surgical  chest. 

See  Note  1,  par.  880. 

*1  in  each  medical  and  surgi- 
cal chest. 

*1  bDx  in  chest,  cooking  uten- 
sils. 
See  Note  1,  par.  880. 

*2  in  supplementary  chest. 
See  Note  1,  par.  880. 
Additional  in  operating  cases. 

i-In  1  small  bedding  case. 

*1  of  each  in  supplementary 
chest. 


*1  in  each  medical  and  surgi- 
cal chest. 

*1  in  supplementary  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  each  medical 
and  surgical  chest. 


3  additional  in  each  medical 
and  surgical  chest. 


See  Note  1,  par.  8^0. 
*1  in  each  medical  and  sur- 
gical chest. 
Vo. 
See  Note  1,  par.  SSO. 


*1  in  each  medical  and  surgi- 
cal chest. 

For  litters  when  used  as  oper- 
ating  tables. 

*1  in  chest,  cooking  utensils. 


MANUAL   FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY, 


285 


No. 


92 


Article. 


27 


29 


27 


28 
78-79 


(c)  Miscellaneous— Con tnued. 

Shoes,  horse  and  mule,  extra: 

Horse pounds . 

Mule do... 

Soap,  hand cakes . 

Soap,  Ivory do . . . 

Spades number . 

Spatulas,  S-inch do. . . 


Specula,  ear,  set  oj  S sets. 

Speculum,  rectal number. 

Splints,  coaptation,  5  in  set sets. 

Splints,  wire  gauze  for,  1  yard  in  roll, 
rolls. 

Splints,  wood  veneer number. 

Sponges,  gauze,  1  dozen  in  box.,  boxes. 
Sprinklers,  powder,  h.r number. 

Stencil  outUt do. . . 

Sterilizer,  for  dressings do. . . 

Stethoscope, double do. . . 

Slick,  size,  shoe do 

Stoces,  alcohol do 

Stretcher,  shoe do  — 

Sutures,  catgut,  chromicized, sterilized, 
18  inches  each,  3  sizes  in  package, 
packages. 

Sutures,  catgut,  plain,  sterilized,  IS 
inches  each,  3  sizes  in  package,  pack- 
ages. 

Sutures,  silk,  braided,  sterilized,  is 
inches  each,  3  sizes  in  package,  pack- 
azos. 

Sutures,  silk-worm  gut,  100  in  coil. coils. 

Sutures,  silver  wire,  yard  lengths, 
\ards. 

Syringes,  fountain.  (See  Bags,  rubber, 
hot  water  and  syringe.) 

Syringes,  hypodermic  (par.  956),  num- 
ber. 

Syringes,  hypodermic,  extra  needles 
for,  number. 

Syringes,  penis,  glass,  in  ease,  .number. 

S'jringe,  rectal,  h.  r.,  6-ounce do. . . 

Tags,  diagnosis books. 


Tape  measure,  foot number 

Tape  measure,  GO  inches do . . 

Tentage,  heavy: 

Canvas,  latrine  screen do . . 

Covers,  canvas* do 

Fly,  wall-tent* -do 

Tents,  hospital^  complete do. 

Tents,  pyramidal,   large,  complete, 

number. 
Tents,  wall,  small,  complete,  num- 
ber. 
Tents,  ward,  complete number. . 

Test  tubes,  3  in  nest nests. . 

Thermometers,  clinical number. . 

Thread,  cotton,  assorted spools . . 

Thread,  saddler's,  assorted... poimds.. 
Tongue  depressors,  metal number. . 

Tool,  universal do — 

Tourniquets  and  bandages,  rubber,  num- 
ber. 

Towels,  dish do. . . 

ToweU,  hand dozen . 

Trays,  instrument,  enamel  ware,  num- 
ber. 

Trusses number . 

Tube,  sio  mach do . . . 


B. 


1 

100 


Source. 


1 

1 

1 

100 


M 
Q 
M 

M 
M 
M 

M 

M 
M 
M 

O 
M 
M 
Q 
M 

Q 
M 


M 

M, 
M 

M 

M 
M 

M 

M 


Ilemarks. 


*2  in  each  medical  and  surgi- 
cal chest,  and  5  in  sterilizer 
chest. 

1  additional  on  each  wagon. 
*1  in  each  medical  and  surgi- 
cal chest. 
*1  set  in  supplementary  chest 
*1  in  supplementary  chest. 

12  additional  in  supplemen- 
tary chest. 

*40  in  sterilizer  chest. 
*1  in  each  medical  and  surgi- 
cal chest. 
For  marking  cloth  or  canvas. 
*1  in  sterilizer  chest. 
*1  in  supplementary  chest . 

1  additional  in  sterilizer 
chest. 

10  additional  in  each  medical 
and  sm-gical  chest. 

20  additional  in  each  medical 
and  surgical  chest. 

10  additional  in  each  medical 
and  surgical  •host. 

1  additional  in  each  medical 
and  surgical  chest. 


Do. 

12  additional  in  each  medical 
and  su''gical  chest. 

12  additional  in  supplemen- 
tary chest. 

*1  in  supplementary  chest. 

2  additional  in  each  medical 
and  surgical  chest;  12  in 
supplementary  chest. 

*1  in  supplementary  chest. 


*For  ward  tents. 
*For  use  of  kitchen. 


*2  in  snpp'cmeutary  chest. 

6  additional  in  each  medical 
and  siugical  chest. 

1  additional  in  supplemen- 
tary chest. 

See  Note  1,  par.  880. 

*1  in  each  medical  and  sur- 
gical chest. 

*1  in  sterihzer  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

*24  in  chest,  cooking  utensils. 
In  2  small  bedding  cases. 

2  in  sterilizer  chest. 

For  supporting  litters  used 

as  operating  tables. 
*1  in  supplementary  chest. 


286 


MANUAL    FOR    MEDICAL    DEPARTMENT,    U.    S.    ARMY. 


Pack- 
age 

No. 

Article. 

A. 

B. 

C. 

Source. 

Remarks. 

28 
25 

(c)  Miscellaneous— Contmued. 

Tubing,  drainage,  unperforated,  Nos. 
1,  2,  and  3,  yards. 

Twine,  coarse pounds . . 

Til  pell)  Titer                             number . . 

9 
2 

""i 

2 
2 

9 

2 

1 
2 
12 

4 

M 

M 

M 
M 
M 

Q 

2  pieces  additional  in  each 
medical  and  surgical  chest 
and  6  additional  in  supple- 
mentary chest. 

2.5 

84 

Vials,  1-ounce dozen. . 

"Wax,  saddler's pounds. . 

Weight,  packed pounds. . 

Cubic  space,  packed feet. . 

12 
2 

J  dozen  additional  in  each 
medical  and  surgical  chest 
and  2  dozen  in  supplemen- 
tary chest. 

14,200'4,000 
650|    200 

18,200 
850 

(a  M.  M.  D.,  No.  3.) 

880.  The  following  articles  are  not  kept  in  store  by  tlie  Medical 
Department.  In  organizing  a  field  hospital,  or  in  making  subsequent 
requisitions  for  replenishment,  these  articles  must  be  obtained  from  the 
proper  supply  department  as  indicated  for  each  item  under  "  Source." 


Article. 


A. 


Source. 


Remarks. 


Bags,  surplus  kit number. 

Calks,  toe,  horseshoe do. . . 

Candles do... 

Coal,  smithing pounds. 

Cover,  mule,  blanket-lined number. 


30 


Equipments,  horse  (par.  943)... 


.do. 


Equipments,  liorse,  quartermaster do — 

Equipments,  individual.  Hospital  Corps  (par. 
865),  number. 

Equipments,  individual.  Quartermaster  Corps, 
number. 

Forage ". 


Guidon,   field   hospital   (bunting),   with   staff, 

numlser. 
Horses,  riding,  for  enlisted  men number. . 

HorseS,  riding,  for  officers do — 

Lime,  hypochlorite tubes. . 

Matches,  safety,  boxes number. . 

Mules,  draft do — 

Mule,  riding do — 

Oil,  mineral gallons. . 

Oil,  neat's-foot pints. . 

Rations: 

Field 

Reserve 

Salt,  rock pounds. . 

Shoes,  horse  and  mule,  fitted: 

liorses,  riding* number. . 

Mules,  draft do — 

Soap pounds. . 

Stationery,  field  desk  allowance 

Stoves,  tent,  with  pipe  and  other  accessories, 
number. 

Wagons,  escort,  with  harness,  complde,  number. . 


* 

* 

100 

* 

24 

* 

28 

1 

14 

* 

2 

* 

* 

** 

* 

** 

9 

* 

32 

112 

14 

* 

28 


32 


Q 


*Based  on  Tables  of  Organi- 
zation. 

♦Supplied  when  necessary. 

*10  days'  supply.  See  Army 
Regulations.  **See  Note  2. 

For  winter  use  on  riding 
mule,  4  additional  on 
each  wagon. 

*Based  on  Tables  of  Organi- 
zation. 

For  riding  mule. 

*1  for  each  man  of  Hospital 
Corps.  **M.  D.,  Q.  M.  C, 
andO.  D. 

*1  for  each  man  of  Quarler- 
master  Corps.  **M.  D., 
Q.  M.  C.,and  O.  D. 

*See  Army  Regulations  and 
Field  Service  Regulations. 
**See  Note  2. 


♦Based  on  Tables  of  Organi- 
zation. 

*1  for  each  captain  or  lieuten- 
ant not  privately  mounted. 

*See  Note  2. 
Do. 

Based  on  Tables  of  Organiza- 
tion. 

♦See  Note  2. 
Do. 

rSee  Field  Service  Regula- 
tions.   **See  Note  2. 
♦See  Note  2. 

1  fore  and  1  hind  on  each 
moimt.  ♦Includes  riding 
mule. 

IG  fitted  shoes  on  each  wagon. 

♦See  Note  2. 

*oeo  Note  1. 

When  prescribed  only.  ♦For 
allowance,  see  Equipment 
Tables,  Q.  M.  Supplies. 

See  Nolo  1. 


Note  1.— For  list  of  contents  consult  Equipment  Tables,  Q.  M.  Supplies. 

Note  2.— A  10  days'  supplv  of  this  article  will  be  taken  to  tho  field  by  organizations.    The  additional 
amount  authorized  by  regulaHous  for  camp  use  will  be  furnished  by  the  camp  quartermaster. 


MANUAL   FOR   MEDICAL   DEPARTMENT^   U.    S.    ARMY. 


287 


881.  If  a  field  hospital  is  to  be  entrained,  with  personnel  and  trans- 
portation at  war  strength  and  ''C"  supplies  complete,  a  railway  train 
composed  of  2  tourist  sleeping  cars  (or  1  tourist  sleeper  and  1  day 
coach),  1  kitchen  car,  1  baggage  (or  box)  car,  3  standard  stock  cars, 
and  3  flat  cars  will  be  required. 

Note.— For  method  of  arriving  at  transportation  required  see  Note  to  paragraph 
876. 

882.  Ai'ticles  used  in  camp  only,  such  as  garbage  cans,  crude  oil, 
lime,  straw,  etc.,  are  supplied  by  the  camp  quartermaster  and  will 
not  be  taken  to  the  field  by  oi^anizations.  The  allowances  are 
specified  in  Equipment  Tables,  Q.  M.  Supplies. 

883.  liOADING  TABLES,  nBIiO  HOSPITAIj  WAGONS. 

The  following  tables  are  based  on  actual  loading  experiments  and 
should  be  adhered  to,  until  the  experience  of  the  commanding  ofiicer 
is  such  as  to  justify  him  in  making  changes  to  meet  the  particular 
conditions  under  which  the  hospital  is  operating.  The  endeavor  has 
been  so  to  arrange  the  loads  as  to  obtain  a  fairly  even  distribution 
of  weight  and  at  the  same  time  make  it  unnecessary  to  unload  all 
the  wagons  when  the  hospital  is  to  be  pitched  for  one  or  two  days 
only  and  comparatively  few  patients,  are  to  be  accommodated.  If 
the  hospital  is  serving  in  a  community  where  buildings  for  its  use 
are  available  the  tentage  would  naturally  be  first  dispensed  with  in 
case  transportation  should  be  unavoidably  reduced. 


Pack- 
age No. 


Wagon  No.  1. 


8-9 
44 


Food,  boxes  of number.. 

Lanterns,  complete,  M.  D ^o 

Ax  with  helve ^° 

Bags,  water,  sterilizmg ^° 

Buckets,  galvanized  iron,  Q.  M ao.... 

Cooking  utensils,  march  kit  (including  tent  fly) sets. . 

Lanterns,  complete,  Q.  M number.. 

Pickaxes,  with  helves <^<^--  - 

Range,  No.  1,  complete P-y-,^- 

Uope,  picket 'F*'      o 

Spades. number..    2 

Tent,  wall,  small,  complete do l 

Candles,  Q.  M.  (when  issued).  ^  v,       ,«/. 

Lime,  hypochlorite tubes.. 100 

Matches,  Q.M boxes..  24 

Oil,  mineral gallons..    4 

Soap.conunon - pounds..  14 

Baggage,  6 officers •■- -•- 

Rations,  2  days' field,  1  day's  reserve number.. 246 


W  eight ■  •  -  - 

If  baggage  and  tent  is  carried  for  director  of  field  hospitals,  add. 


Total  weight . 


Wagon  No.  2. 

Alcohol •- • boxes.. 

Anesthetics ^° 

Whisky do.... 

Alcohol,  denatured "O 

Bandages ^<' 

Cotton,  absorbent,  packages QO 

Gauze,  packages "O 


Pounds. 


180 
59 
5 
16 
10 

200 
5 
18 

264 
18 
10 

120 


30 

14 

300 

738 


170 


2,158 


74 
116 
76 
68 
83 
65 
60 


Note.— Mineral  oil  and  lanterns  should  be  well  separated  from  rations  a^d  cooking  utensils. 


288 


MANUAL  FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY. 


rack- 
age  No. 


Pounds. 


23 
25 
26 
27 
28 
29 
30 
31 
32-33 
36 
38 
39 
45 
46-30 
5&-o7 
78 
82 


58-61 
70-73 


10-15 
17 
19 
21 

22 
62-89 
74-77 

79 
80 


1-3 
24 
34 
35 
37 
40 
41 
42 
51-55 
81 
83 
84 
92 


AVagon  No.  2— Continued. 

Cotton,  absorbent,  in  rolls boxes. .  1 

Dispensary  accessories do 1 

Sutures,  needles,  etc do 1 

Cases,  operating,  etc do 1 

Basins,  rubber  gloves,  etc do 1 

Splinis do 1 

Toi  le  t  paper do 1 

Bed  pans  and  urinals do 1 

Buckets bundles. .  2 

Chest,  medical  and  surgical number. .  1 

Chest,  medi*al  and  surgical,  supplementary do 1 

Chest  sterilizer do 1 

Lanterns, complete,  M.  D.,  10 in  a  box boxes..  1 

Litters number. .  20 

Blankets,  gray cases. .  2 

Towels,  hand. do 1 

Trusses  for  operating  tables niunber. .  3 

Ax,  with  helve do 1 

Total  weight 

W.VGON  No.  3. 

Desk,  field number . .  1 

Ax,  with  helve do 1 

Tents,  hospital,  complete do 2 

Tents,  ward,  complete,  with  covers  for  canvas do 2 

Allowance  for  wet  canvas,  50  per  cent  of  1,090  pounds '. 

Total  weight 

AVagon  No.  4. 

Ax,  with  helve number. .  1 

Tents,  hospital,  complete : do 2 

Tents,  ward,  complete,  with  covers  lor  canvas do 2 

Allowance  for  wet  canvas,  50  per  cent  of  1,090  pounds 

Total  weight 

Wa«on  No.  5. 

Blankets,  gray cases. .  4 

Blankets,  rubber do 4 

Ax,  with  helve *. numb;r. .  1 

Tents,  ward,  complete,  with  covers  for  canvas do 2 

Allowance  for  wet  canvas,  50  per  ceat  of  720  pounds 

Total  weight 

Wagon  No.  6. 

Food,  boxes  of number. .  6 

Bandages boxes . .  1 

Cotton,  absorbent,  in  packages do 1 

Gauze,  in  packages do 1 

First-aid  packets do 1 

Blankets,  gray cases . .  8 

Blankets,  rubber do 4 

Towels,  hand do 1 

Pajamas do i 

Total  weight 

AVagon  No.  7. 

Medicines  and  antiseptics,  reserve boxes. .  3 

Lantern  glasses,  extra,  canvas  for  litters,  etc do 1 

Calcium  carbide do 1 

Chest,  acetylene number. .  1 

Chest,  medical  and  s  i-'jical do 1 

Chest,  cooking  utensi' j do 1 

Chest,  tableware .• do 1 

Chest,  tool.  No.  2 do 1 

Bed  sacks cases. .  5 

Flag,  staff  for niunber..  1 

Pistols,  holsters,  btli  s,  and  cartridges boxes. .  1 

(Quartermaster  sundries t do 1 

Shoes,  horse  and  mule,  extra,  with  nails do 1 

Axes,  wit h  helves ._ numl)er . .  2 

(iuidons,  ambulance,  with  staff do 12 

Iron,  bar,  a.ssorted bundles..  1 

.lack,  wagon number..  1 

Leather,  haraess bundles . .  1 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY. 


289 


Pack- 
age No. 


Wagon  No.  7— Continued. 
Rake,  steel number..    1 

g;k;^^^°^*;:::;;:::::::;::;:::::::::::::::::::::::::::::::::::::::::pSs::  I 

Grain,  29  mules,  15  horses,  day's  1 

Total  weight 


Pounds. 


4 

20 

95 

2 

10 

441 


2,315 


Note  1  — Oup.  day's  erain  for  each  team  (weight  36  pounds)  is  carried  in  the  jockey  box  of  each  wagon. 
This  grain,  the  driver,  and  the  tools  and  spare  parts  that  go  with  each  wagon,  are  not  included  in  the  maxi- 
mum load  of  2,705  pounds  allowed  by  regulations,  ^r.    -u  ^^  C4^v  ,,„^  ^-^u +„;i -„f 

Note  2  — In  loidiu''  teutago  the  poles  should  be  placed  on  the  bottom  of  the  wagon  bed  with  tail  gato 
extended',  canvas  on  top  of  poles.  Boxes  should  never  be  loaded  on  top  of  canvas  When  a  wagon  is 
loaded  with  tail  gate  extended  the  sideboards  of  the  wagon  box  should  bo  supported  by  a  chain  or  iron 
rod. 


884. 


DIVISION   SURGEON'S   OFFICE. 


Articles. 


(a)  Stationery. 
Envelopes,  official,  letter number. . 

Paper,  blotting .quires. . 

Paper,  carbon,  letter,  100  sheets  in  a  box, 
boxes.  ,     ,    . 

Paper,  manifolding,  cap,  250  sheets  in  a  pack- 
age, packages. 

Paper,  manifolding,  letter,  500  sheets  in  pack- 
age, packages. 

Paper,  mamfolding,  letter,  perforated,  500 
sheets  in  package,  packages. 

Paper,  typewriter,  cap,  250  sheets  in  pack- 
age, packages. 

Paper,  typewriter,  letter,  500  sheets  in  pack- 
age, packages. 

(6)  Blank  Forms,  M.  D.  (par.  961). 
No.  61 books . 

Nos.  12  M.D.  and  334  W.D.,  of  each,  .number. 
Nos.  46  M.D.,  50b  M.D.,  330  W.D.,  330a  W.D., 
and  335  W.D.,  of  each,  number. 

Nos.  59,  84,  and  85,  of  each number . . 

No.  70 do. . . . 

(c)  MiSCELLANEOU.?. 

Broom,  corn number. . 

Case,  emergency  (par.  913) do 

Chairs, folding do. . . . 

Containers,  for  certificates  of  identity do 

Desk,  iicld.  No.  1  (par.  940) do. . . . 

Flash  light,  electric,  complete do 

Flash  light,  electric,  batteries  for do 

Flash  light,  electric,  lamps  for do  — 

Table,  mess,  folding do — 

Typewriter do — 

Typewriters,  record  ribbons  for do — 


A. 


Total  weight,  packed pounds . .     314 

Cubic  spac-e,  packed feet . .       22 

I 


24 
1,000 


1 
1 
3 
100 
1 
1 
6 
4 
1 
1 
2 


Source. 


200 

1 
1 

1 

2 
1 
1 
1 


I       24 
!l,000 


1 
1 
3 
100 
1 
1 
6 
.  4 
1 
1 
2 


314 
22 


Remarks. 


150  additional  in  field  desk 
No.  1. 


1  box  additional  in  field  desk 
No.  1. 


M        Issued  only  in  time  of  war. 

(See  par.  544.) 
M      I 
M 


Issued  only  in  time  of  war. 


Note.— Tentage  and  other  quartermaster  supplies  for  the  division  surgeon's  office  are  included  in  the 
allowances  of  division  headquarters  as  published  in  Equipment  Tables,  Q.  M.  Supplies. 


(6'.  M.  M.  D.,  No.  3.) 

70156°— 18 19 


2W 


MANUAL   FOR   MEDICAL   DEPAETMENT,   U.    S.   ARMY. 


885.      BLANK  FORMS,  DIVISION  SURGEON'S  EMERGENCY 

SUPPLY. 

Each  division  staff  ofl3.cer  is  required  by  Army  Regulations  to  keep 
on  hand  an  emergency  supply  of  blank  forms  pertaining  to  his  depart- 
ment, preferably  carried  in  the  supply  train.  Such  emergency 
supply  for  the  division  surgeon  will  coDsist  of  the  following: 


Nos.  12, 17,  and  17c,  of  each number. 

Nos.  19,  24,  32,  50b,  59,  and  74,  of  each do. . . 

Nos.  37,  47a,  48,  49,50,56,  78,84,  and  85,  of  each do... 

No.  28 do... 

Nos.  35,  53,  82,  and  83,  of  each do. . . 

Nos.  17o,  176,  and  77,  of  each do-  -  • 

Weight,  packed pounds. 


12 
24 
50 
100 
500 


Note. — For  key  to  Form  numbers  see  paragraph  961. 


886. 


CAMP  HOSPITALS. 

(See  pars.  602  to  001.) 


Articles. 


(o)  Medicines  and  Antiseptics. 

Acidnm  nitricum,  ^  pound,  in  glass-stopper  bottle, 
bottles :  — 

Aether,  J  pound,  in  tin tms.. 

Alcohol,  3  pints,  in  tin do — 

Argvrol,  1  ounce,  in  bottle bottles. . 

Aspirin,  324-mgm.  tablets,  500  in  bottle do 

Chloroformum,  i  pound,  in  tin tins. . 

Cocainae  hydrochloridum,  i  ounce  in  wide^mouth 
bottle bottles. 

Glyeeriuum,  3  nints,  in  tin - tins. . 

Hydrargyri  chloridum  corrosivum,  tablets  (antisep- 
tic) (par.  902),  250  in  bottle bol  tics. 

Magnesii  sulphas,  3  potmds,  in  tin t  uis. 

Oleum  rieini,  3  pints,  in  tin do — 

Si^irilus  frumenti,  1  quart,  in  bottle bottles.. 

Tinctura  digitalis,  J  pound,  in  bottle do. . . . 

(Trocliisci  ammonii  chloridi,  350  in  12-ounce  tin. .  tins. 

(b)  St.\tionery. 

Envelopes;  official,  letter number. . 

^ilcs,  Shannon,  small do. . . 

Paper,  manifolding,   cap,   250  sheets  in   package. 

Paper,  maiiifoiding,  ietter,  500  sheets  in  package, 

DllCkSCGS ._..._...._.-...••-.--••------••------- 

Paper,  typewriter,  cap,  250  sheets  in  package,  pack- 


ages. 


Paper,  typewriter,  letter,  .500  sheets   in   package, 

packages , — 

Pencils,  lead number. 

rciiholders do. . . 

Pens,  steel gross. 


(c)  Blank  Fokms,  Medical  Depabtment.i 


Regimen- 
tal hospital 
"0"  equip- 
ment (par. 
872)  as  a 
nucleus. 


Beds,  24. 


100 
4 


12 
0 

IS 
400 


Ncs.  14  W.  D.  and  12  M.  D.,  ofeach number..                  6  6 

Nos.  51  and  51o,  of  each do 0 

No.  51b do 1^ 

>fo.52 do....                200  300 

Nos.  55,  o  to  u,  as  reqiured do. . 

1  AVhen  camp  hospitals  are  issued  intact,  this  list  will  govern,  but  such  other  Forms  as  may  be  necessary 
will  be  furnished  subsequently  as  required. 


Field  hospital  "C"  equip- 
ment (par.  879)  as  a  nu- 
cleus. 


Beds,  50.  .Beds,  100.  Beds,  150. 


150 
4 

1 

1 

1 

2 
12 


12 

C 

24 

600 


Source. 


MANUAL   FOR.  MEDICAL   DRPARTMENT,    U.    S.    ARMY. 
Camp  hospitals — Continupd. 


291 


Article. 


Rcglmcn-  ] 
talho3pl;al 
"C'couip- 
ment(par. 
872)  as  a 
nucleus. 


Beds,  24. 


(c)  BLJi,NK  Forms,  Medic.u-  Department— Con. 

No.  72 do..-. 

No.  72a do...- 

No.  74 do. . . . 

Kos.  75  and  76,  of  each do 

No.  81 do.... 

No.  97 do. . . . 

(d)  Miscellaneous. 

Acetylene  light  and  heat  unit  (par.  927i) number. . 

Ambulance,  motor  i do 

Atomizers,  Imnd do 

Bandages,  plaster  of  Paris do;en . . 

Basins,  hand number. . 

Bars,  mosquito --do 

Bars,  mosquito,  frames  for pairs.  - 

Bars,  mosqitito,  spreaders  for  frames number. . 

Bednan,  enamel  ware  or  agite  tvare do.  -  - 

Bed'sacJiS - do. . . 

Blankets,  gra'j do. .  - 

Brooms,  corn , do-- . 

Brushe^s,  scrubbing dO-  - . 

■  Cases,  bedding,  large,  empty do. .  - 

Cases,  bedding,  smnll,  empty do.  -  - 

■  Case,   microscopical  supplies,   supplementary   (par. 

921) number. . 

Chairs,  folding do . . . 

Chests,  commode  (par.  92S) do... 

Cots do... 

Cotton,  absorbent,  in  roll poimds. 

Crutclics pairs.. 

Desli,  field,  iN'o.  1  (par.  940) number. . 

Dippers do. . . . 

Gauze,  plam,  in  5-Yard  rolls rolls. . 

Lanterns,  globes  for,  white number. . 

Lanferns,  without  globes  or  wicks do 

Medicine  glasses do 

Microscope,  field,  with  accessory  case  (par.  950). .do 

Mortars  andpcstels,  Wedgtcood,  '20  c.  m do 

lluslin,  unbleached yards. . 

Needles,  surgical,  assorted dozen. . 

Pails,  commode  (close  stooh) number. . 

Pajamas,  coats -  -  do 

Pajamas,  trousers do 

Paper,  toilet packages.. 

Paper,  wrapping,  bro\\-u quires. . 

Pill  tile,  h.r number. . 

Pillow  cases,  cotton do 

Pilloiv  sacks d? 

Plaster  of  Paris,  4  pounds,  in  tin tins.. 

Scales  and  weights,  apothecary's,  metric  system  (par. 

845) number. . 

.Shears do 

Sheets,  cotton do 

Silk,  oiled,  in  5-yard  rolls rolls. . 

Spatulas,  S-inch number. . 

Splints,  Hodgen's do 

Stethoscopes,  double do 

Sutures,  catgut,  plain,  sterilized,  18  inches  earh,  3 

?izes  in  pa ?kage packages. . 

Sutures,  silk,  braided,  sterilized,  18  inches  each,  3 
sizes  in  package packa^res. . 

Tables,  bedside,  folding number. . 

Tables,  mess,  folding •. do 

Tables,  operating,  field do 

Tentage,  heavy: 

Canvas,  latrine  screen do 

Tents,  hospital,  complete do 

Tents,  pyramidal,  large,  complete do 

Tents,  wall,  small,  complete do 


6 
150 
100 
12 


Field  hospital  "C"  equip- 
ment (par.  879)  as  a  nu- 
cleus. 


Beds,  50.  Beds,  100.  Beds,  150. 


96 


IS  I. 
12  I 

1    ! 

Ij 
1    '. 

3  1. 

4  - 
3  ;. 


12 

300 

200 

24 


100 
100 


4 

1 

100 

54 

3 

1 
"1 
2C0 
1 
1 
2 
2 


100 
30 
18 
600 
400 
48 


120 
108 
108 


12 

12 

6 

4 

1 

50 

2 

108 


2*! 
200  1 
200 


6 

1 

200 

108 

5 

1 
2 

400 
2 
2 
2 
3 


200 
30 
24 
1,200 
800 
60 


Source. 


175 
IGO 
160 


160 


2 
3C0 
300 


1 

300 
160 

8 

1 
3 

600 
2 


M 
M 

M 
M 
II 
M 

ir 

M 

:,i 

M 
M 
M 

M 

M 
M 
M 
M 
M 
M 
M 
M 
M 
U 
M 
M 
M 
M 
M 
M 
M 
M 
M 

M 
M 
M 
M 
M 

M 
M 
M 
M 
M 
M 
M 


1  Not  kept  in  depots  and  not  included  in  shipping  weights. 


292  MANUAL   FOR    MEDICAL    DEPARTMENT,   U.    S.    ARMY. 

Camp  hospitals — Continued. 


Article. 


Regimen- 
tal hospital 
"C"  equip- 
ment (par 
872)  as  a 
nucleus. 


Beds,  24. 


Field  hospital  "C"  equip- 
ment (par.  879)  as  a  nu- 
cleus. 


Beds,  50.  Beds,  100.  Beds,  153 


Source. 


(d)  MISCELLANEOUS— contrnued. 

Test  tubes,  3  in  nest nests. 

Towels,  bath number. 

Towels,  dish do. . . 

Towels,  hand do. . . 

Typewriter do. . . 

Typewriters,  record  ribbons  for do. . . 

Urinals do... 

Urinometer do. . . 

Vials,  2-ounce dozen. 

Vials,  4-ouuce do. . . 

Weight  packed,  about pounds. 

Weight  of  uucleu-s do. . . 

Total  weight,  about do. . . 

Cubic  space feet . 

Cubic  space  of  nucloas do. . . 

Total  cubic  space do . . . 


4 

141 


3, 930 
2,570 


3,000 
18,200 


6,000 
18, 200 


6,470         21,200 


260 
150 


200 
850 


400 
850 


1,050 


1,253 


5 

216 


7,700 
18,200 


25,900 


650 

850 


(a  M.  M.  D.,  No.  3.) 

887.  When  a  camp  hospital  is  assigned  to  a  mobilization  camp  there 
will  be  included  in  its  equipment,  in  addition  to  the  articles  enumer- 
ated above,  one  Recruiting  ouifit  (par.  952)  for  each  2,000  contem- 
plated enlistments;  together  with  the  necessary  blank  forms. 

888.  Articles  used  in  camp  only,  such  as  garbage  cans,  crude  oil, 
lime,  straw,  etc.,  are  supplied  by  the  camp  quartermaster,  and  will 
not  be  taken  to  the  field  by  organizations. 

EVACUATION  HOSPITAL,  BASE  HOSPITAL,  AND  MEDICAL 

RESERVE  UNIT. 

889.  Evacuation  and  base  hospitals  are  not  strictly  limited  to 
articles  listed  in  this  table.    -(See  paragraph  859.) 

890.  A  medical  reserve  unit  is  a  collection  of  medical  supplies 
which  it  is  estimated  will  meet  the  immediate  requirements  of  a 
reserve  for  one  infantry  division.  A  certain  nimiber  of  these  units 
will  be  kept  in  the  Medical  Department  depots  in  time  of  peace  ready 
for  emergency  issue.  No  provision  is  made  in  the  medical  reserve 
unit  for  replenishing  the  supplies  of  sanitary  formations  on  the  line 
of  communications.     (See  par.  782.) 


MANUAL  FOR   MEDICAL   DEPARTMENT^   U.    S.   ARMY. 


293 


891. 


MEDICAL   SUPPLIES. 


Article. 


(a)  Medicines  and  Antiseptics. 

Acidum  boriciim,  32-1-insm.  tablets,  700  in  12-ounee  tin, 

tins. 
Acidiun  nitriciun,   in  -l-pound   glass-stopper   bottle, 

bottles. 
Acidum  salicylicum,  SJ-t-msm.  tablets,  400  in  12-ounce 

tin,  tins. 
Acidum  sulphuricum  aromatisum,  in  ?-pound  glass- 

stopi>er  bottle,  bottles. 
Acidum  tannicum,  3-i-l-mgm.  tablets,  500  in  bottle, 

bottles. 
Adops  lanae,  i  pound  in  wide-mouth  bottle. .  .bottles. . 
Adrenalin  clilorid,  1-mgm.  tablets,  20  in  tul>e. .  .tubes. . 

Aether,  J  pound  in  tin tins. . 

Alcohol,  3-pint  tin do 

Amylis  nitris,  5-drop  spire ts,  12  in  box boxes.. 

Apomorplunao  hydrochloridum,  6-mgm.  hypodermic 

tablets,  20  in  tube,  tubes. 
Aqua  ammoniae,  10  per  cent,  1  pound  in  glass-stopper 

bottle,  botiles. 
Argenti  nitras,  crystals,  1  ounce  in  bottle bottles. . 

Argenti  nitras  fusus,  1  ounce  in  bottle do — 

Argyol,  1  ounce  in  bottle do 

Arseni  trioxidum,  1-mgjn.  tablets,  590  in  3-ounc6  tin, 

tins. 

Aspirin,  324-mgm.  tablets,  500  in  bottle bottles. . 

Atropinae  sulphas,  0.6.5-mgm.  hypodermic  tablets,  20  in 

tube,  tubes. 
Bismuthi  subnitras,  324-mgm.  tablets,  700  in  12-ounce 

tin,  tins. 
CaHieina  citrata,  65-mgm.  tablets,  2.50  in  bottle,  .bottles. 

Camphora,  powder,  i  pound  in  wde-mouth  bottle, 

bottles. 

Capsicum,  32-mgm.  tablets,  600  in  3-ounce  tin tins. 

Chloraliun  hydi-atiun,  324-mgm.  tablets,  400  in  bottle, 

bottles. 
ClUoroformum,  J-pound  tin tins . 


Coeainaehydrochloridimi,  10-mgm.  hypo  lermic  tablets, 

20  in  tube,  tubes. 
Coeainae  hydrochloridum,  ^-ounce,  wide-moutli  bottle, 

bottles. 
Codeina,  32-mgm.  tablets,  600  in  3-ounce  tin tins. . 

Collodium,  1-ounce  bottle bottles. 

Digltalinum,  1-mgm.  hypodermic  tablets,  20  in  tube, 

tubes. 
Emetinae     hydrochloridum,     22-mgm.     hypodermic 

tablets,  20  in  tube,  tubes. 
Emplastrum  belladoimae,  2  yards  by  6  inches,  in  tin, 

tins. 
Emplastrum  cantharidis,  1  yard  by  6  incnes,  in  tin.tins. 
Foot  po\\(ier  (par.  902),  i  pound  in  tin  with  perforated 

cover,  tins. 
Glyceriniun,  3  pints  in  tin tins. 


•2^ 

03-- 


Hexamethylenamina  (Urotropin),  324-mgm.   tablets, 

600  in  12-ounce  tin,  tins. 
Hydrarsiyri  chloridum  corrosi\nun,  tablets  (antiseptic) 

(par.'902),  250  in  wide-mouth  bottle,  bottles. 
Hydrargyri  cliloridum  mit«,  32-mgni.  tablets,  1,000  In 

bottle,"bottles. 
Hydrargyri  ioJidum  fla\'um,  10-mgm.  tablets,  750  in 

8-ounce  tin,  tins. 
Hyoscinae   hydrobromidiun,    0.65-mgm.    hypodermic 

tabids,  20  in  tube,  tubes. 
Ichthyolum,  3-ounce  wide-mouth  bottle bottles. . 


2SS 
54 


36 


Remarks. 


5 

IS 

IS 
2 

2 
100 

2 
2 

30 
4 
2 

10 


1  additional  Jn  supplemen- 
tary chest. 


5  additional  in  each  medical 
and  surgical  chest. 

1 12-ounce  bottle  in  each  med- 
ical and  surgical  chest. 

1  additional  in  supplemen- 
tary ciiest. 

3  additional  in  ea"h  medical 
and  surgical  chest. 


1  additional  in  supplemen- 
tary chest. 

Do. 
Do. 
Do. 

Do. 

7  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  ea;-h  medical 
and  surgical  cliest. 

1  additional  in  supplemen- 
tary chest. 


Do. 
Do. 

3  additional  in  ea?h  medical 
and  surgical  chest;  12  addi- 
tional in  supplementary 
chest. 

7  additional  in  each  medical 
and  surgical  chest. 


1  additional  in  supplemen- 
tary chest. 

2  additional  in  supplemen- 
tary chest. 

5  additional  in  each  medical 
and  sujgical  chest. 
Do. 

1  additional  in  supplemen- 
tary chest. 
Do. 
1  additional  in  ea?h  medical 

and  surgical  chest. 
tj  pint  additional  in  supple- 
mentary chest. 
Do. 

1  tin  in  each  medical  and 
surgical  chest. 

1  additional  in  eacli  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

3  additional  in  eacn  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 


294  MAifUAL  FOR   MEDICAL   DEPAKTMEXT,   U.    S.    ARMY. 

Mediral  supplies — -Continued. 


Article. 


(a)  Medicines  and  Antiseptics— Continued. 

loiiine  swabs,  6  in  box boxes. . 

lodum-potassii  iodiduin,  in  tubes tubes. . 

Ipecacuanha,    powder,    3-ounee   wide-mouth    bottle, 

bottles. 
Linimentum  rubefaeiens,  tablets  (por.  902),  200  m  12- 

ounce  tin,  tins. 
Liquor  formaldehydi  (371  per  cent),  1  quart  in  bottle, 

bottles. 

Magnesii  sulphas,  3  pounds  in  tin tins. . 

Menthol,  1-ounce  wide-mouth  bottle bottles. . 

Mistura gly(>Trhizae  composita,  tablets  (par.  902),  3,600 

in  i;-ounce  tin,  tins. 
Morphinae  sulphas,  &-mgm.  hypodermic  tablets,  20  in 

tube,  tubes. 
Morphinae  sulphas,  8-mgm.  tablets,  600  in  3-ounce  tin, 

tins. 
Nitroglycerin,  0.65-mgm.  hypodermic  tablets,  20  in  tube, 

tubes'. 
Nitroglycerin,  0.65-mgm.  tablets,  250  in  bottle,  .bottles. . 
Normal  saline  solution  tablets  (par.  902),  150  in  12-ouuce 

tin,  tins. 

Oleum  gossvpii  seminis,  3-pint  tin tins. . 

Oleum  menthae  piperitae,  in  l-ounce  glass-stopper  bot- 
tle, bottles. 

Oleum  ricini,  3-pmt  tin tins . . 

Oleum  tercbinthinae  rectificattim,  3-pint  tin do 

Oleirai  theobromatis,  i  pound  in  12-oance  tin do 

Opii  pulvis,  2-ounee  w'ide-mouth  bottle bottles. . 

Petrolatum,  in  12-ounee  tin tins. . 

Phenol,  i  pound  in  bottle bottles. . 


Phenylis  salicylas  (Salol),  324-mgm.  tablets,  500  in  bot- 
tle, bottles. 

PUulae  alouii  eompositae  (or  tablets)  (par.  902),  750  in 
3-otmce  tin,  tins. 

Pilulae  camphorae  et  opii  (or  tablets)  (par.  S02),  875  in 
12-otmce  tin,  tins. 

Pilidae  catharticae  eompositae  (or  tablets),  1,200  in 
12-ounce  tin,  tins. 

Pilulae  ferri  eompositae  (or  tablets)  (par.  902),  1,200  in 
12-oxmce  tin,  tins. 

Plumbi  acPtas ,  1 30-mgm.  tablets,  600  in  3-ouncc  tin.  t  ins . . 

Potassii  bromidum,  324-mgm.  tablets,  500  in  bottle, 
bottles. 

Potassii  chloras,  321-mgm.  tablets,  1,200  in  12-ounce  tin, 
tins. 

Potassii  et  sodii  tartras,  1-poimd  tin tins.. 

Potassii  iodidum,  324-mgm.  tablets,  500  in  bottle, 
bottles. 

Potassii  permanganas,  324-mgm.  tablets,  1,200  in  12- 
ounce  tin,  tins. 

Protargol  (or  equivalei^),  1  ounce  in  bottle bottles. , 

PuU  is  ipecacuanhae  et  opii,  324-mgm.  tablets,  700  in  12- 
ounce  tin,  tins. 

Quininac  hydroehlorosulphas,  32-mgm.  hypodermic 
tablets,  20'in  tube,  tubes. 

Quininac  sulphas,  200-mgm.  tablets,  1,000  in  12-oimce 
tin,  tins. 

Sapo  mollis  (green  soap),  i-pound  jar  iaeaSo jai-s. 

Serum  antidiphthericum,  as  required imits. 

Serum  antitetanicum,  as  required do. . . 


Sodii  bicarbonas,  324-mgm.  tablets,  1,000  in  12-oimce 

tin,  tins. 
Sodii  biiarbonas  et  mentha  piperita,  tablets  (par.  902), 

l.OOO  in  12-ounco  tin,  tins. 
Soriii  carbonas  monohydratus,  for  surgical  use,  J  poimd 

iu  12-ouace  tin,  tins. 


400 


600 
4 
6 
12 


144 

3 

36 


100 
680 


144 

2 

24 


Remarks. 


20  additional  in  each  medical 

and  surgical  chest. 

1  additional  in  each  medical 
and  surgical  chest. 

Do. 
Do. 

45  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

8  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 


Do. 
Do. 
Do. 

2  additional  in  each  medical 
and  S'u-c:ical  chest. 

1  additional  in  each  medical 
and  surgical  chest,  and  4  ad- 
ditional in  sterilizer  chest. 

1  additional  in  supplemen- 
tary chest. 
Co. 

1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  each  medical 
and  stirgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

Do. 

Do. 

1  additional  in  each  medical 
and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 

10  additional  in  each  medical 
and  surgii  al  chest. 

3  addil  ioiial  in  each  medical 
and  suif^ical  chest. 

•2addi(;i()na!iusterilizerchest. 

( An  ciuergincy  supply  of  these 
sorun;s  should  always  be 

{  kept  on  hand  by  the  depots 
on  the  line  of  communita- 

[    tions. 

1  additional  in  supplemen- 
tary chest. 
Do. 

Do. 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 
Medical  swppZifs— Continued. 


295 


Article. 


(a)  Medicines  and  Antiseptics— Continued. 

Sodii  salicylas,  324-nigm.  tablets,  600  ia  12-ounce  tin, 

tins. 
Spiritusammoniae aromatic-US,  i  pound  in  glass-stopper 

bottle,  bottles. 
Spiritus  frumenti,  1  quart  in  bottle bottles. 

Strychninae  sulphas,  l-mgm.  hypodermic  tablets,  20  in 

tube,  tubes. 
Sulphur  lotum,  J  pound  in  12-ounce  tin tins. 

Thymol,  1-ounce  bottle bottles. 

Thymolis  iodidum  (Aristol),  1-oimce  bottle do — 

Tinetura  digitalis,  h  pound  in  bottle do — 

Tinctura  digitalis,  0.3  c.  c.  tablets,  800  in  3-ounce  tin, 

tins. 

Tinctura  opii,  J-pound  bottle bottles. 

Trochisci  ammouii  diloridi,  350  in  12-ounce  tin tins.. . 

Unguentum  hydrargyri,  |  pound  in  wide-mouth  bottle, 

bottles. 
Unguentum  hydiargyri  chloridi  mitis,  30  per  cent,  4 

pound  iu  wide-mouth  bottle,  bottles. 

Vaccine,  smallpox,  as  required units.. 

Vaccine,  typhoid,  as  required e.  c. , 

Vaccines,  special ' do — 

Veronal,  324-mgm.  tablets,  100  in  3-ounce  tin,  or  equiva- 
lent, tins. 
Zinci  oxidum,  powder,  J-  pound  in  12-ounce  tui. . .  .tins. . 
Ziaci  sulphas,  324-mgm.  tablets,  250  in  3-ounce  tin  .do. 

(6)  Stationery. 

Bands,  elastic,  assorted gross. . . 

Blank  forms 

Books,  blank, crown  (cap),  250  pages number. . 

Books,  blank,  8-vo.,  150  pages do 

Books,  note,  manifolding,  4by6  inches,  binders do  — 

•  Books,  note,  manifolding,  4  by  6  inchss,  fillers . .  .do 

Envelopes,  official,  large do 

Envelopes,  official,  letter,  1,000  in  a  box bo.xes. . 

Erasers,  rubber,  pencil number. . 

Erasers,  rubber,  typewriter do. . . 

Eraser,  steel do. . . 

Files,  Shannon,  small do. . . 

Ink,  black,  powder  or  tablets boxes. 

Ink,  red,  powder  or  tablets do. . . 

Labels  for  vials gross. . . 

Labels,  poison,  assorted do. . 


24 

36 

108 

3 

12 


Manuals,  Army  Regulations,  etc 

Pads,  prescription '..-  .dozen. 

Paper,  blotting quires. 

P;ipcr,  carbon,  cap,  100  sheets  in  box boxes. 

Paper,  carbon,  letter,  100  sheets  in  box do. . . 

Paper  fasteners do 


24 

100 
1 


6 

24 

200 

1 

12 

12 

IS 
2 

1 
G 
1 


Remark.s 


1  additional  in  each  medical 
and  surgical  chest. 

2  additional  in  supplemen- 
tary chest. 

§  pint  additional  in  supple- 
mentary chest. 

20  additional  in  each  medical 
and  surgical  chest. 

1  additional  ia  supplemen- 
tary chest. 

Filled  sprinkler  in  each  med- 
ical and  surgical  chest. 

1  additional  in  supplemen- 
tary chest. 
Do. 
Do. 
Do. 

1  additional  in  each  medical 
and  surgical  chest. 

[An  emergency  supply  of  these 
vaccines  should  always  be 
kept  on  hand  by  the  depots 
on  the  liae  of  communica- 

[    tions. 

1  additional  in  supplemen- 
tary chest. 
Do. 
Do. 


1   gross  additional  in  field 

de.sk  No.  1. 
*See  footnote  2. 

1   additional   in   field   desk 

No.  1. 
5   additional   in   field   desk 

No.  1. 
10  additional  in  field  desk 

No.  1. 
25  additional  in  field  desk 

No.  1. 
150  additional  in  field  desk 

No.  1. 
1    additional   in   field   desk 

No.  1. 

*1  in  field  desk  No.  1. 
For  clinical  histories.  ■ 
1   additional   in   field   desk 
No.  1. 
Do. 

3  dozen  additional  in  each 
medical  and  surgical  chest. 

*In  field  desk  No.  1. 

24  additional  in  field  desk 
No.  1. 


1  box  additional  in  field  desk 

No.  1. 
1   additional   in   field   desk 

No.  1. 


» Streptococcus,  staphylococcus,  staphylococcus-acne  and  gonococcus  vaccines  arc  furnished-Irom  the 
Army  Medical  School  on  special  request.  .       .       ,       ^  •  j 

2  A  supply  of  blank  forms  will  be  furuished  with  the  hospital  equipment  by  the  issumg  depot  in  accora 
ance  with  alist  furnished  by  the  Surgeon  G  encral's  Office.  Subsequent  issues  will  be  obtained  as  directed 
in  Army  Regulations. 


296  MAXUAL   FOR   MEDICAL   DEPARTMENT^   TJ.    S.    ARMY. 

Medical  supplies — Continued. 


Article. 


(b)  Stationery— Continued. 

Paper,  manifolding,  cap,  250  sheets  in  package,  pact- 
ages. 

Paper,  manifolding,  letter,  500  sheets  in  package,  pack- 
ages. 

Paper,  manifolding,  letter,  perforated,  590  sheets  In 
package,  packages. 

Paper,  t>T)e\vriter,  cap,  250  sheets  in  package, packages. 

Paper,  type«Titer,  letter,  500  sheets  in  package,  pack- 
ages. 

Paper,  writing,  letter,  100  sheet',  in  pad pads. 

Paper,  writing,  note,  100  sheets  in  pad do — 

Paste,  photograph,  in  tube,  with  brush tubes. 

Pencils,  indelible dozen. 

Pencils ,  lead do . . . 

Penholders do. . . 

Pens ,  steel gross. 

Bulcr number. 

Stamp,  -penalty,  ntbber,  with  pad do... 

Tags,  shipping do. . . 

(c)  Miscellaneous. 

Acetylene  liqM  and  heatuvit  (par.  927) number.. 

Alcohol,  denatured,  2  quarts  in  tin tins.. 

Ambulances,  motor number. . 


A  pparafu.i,  reatraint  (par.  904) do. . . 

Apparatuf,  X-ray do... 

A  prons,  rubber number. 


Atomizers,  hand do. . 

Ax  helves,  short  (par.  874) do. . 

Axes,  short  handle  (par.  874) do.. 

Bags,  rubber,  hot  water  and  syringe do.. 


Bandages,  flannel,  3-inch  roller dozen. . 

Bandages,  gauze,  compressed,  1  gross  in  box,  3  sizes, 
boxes. 

Bandages,  plaster  of  Paris,  3-inch,  in  individual  pack- 
ets, dozen. 

Bandages,  rubber,  Martin number. . 

Bandages,  suspensory dozen. . 

Bars,  mosquito number. . 

Bars,  mosquito,  frames  for pairs. . 

Bars,  mosquito,  spreaders  for  frames number. . 

Basins,  for  sponges,  etc.,  enamel  tv arc do 

Basins,  hand do 


18 

6 
30 

18 

12 

S 

500 

450 
450 


Basins,  hand,  enamel  ware do 

Basins,  rubber do 


Bed  pans,  enamel  ware  or  agateware do... 

Bedpans,  box  o/(par.  906) do... 

B  edsacks do. . . 

Beef,  soluble,  liquid  or  extract,  in  3-ouncetin tins. 

Blankets,  gray number. 


18 
'484" 


6 
30 

18 

12 

S 

600 

525 

525 

4 


24 
"572' 


1,500 


■■B 


1 
132 


144 

100 


Remarks. 


2   additional   in   field    desk 

No.  1. 
6   additional   in   field   desk 

No.  1. 

1  additional   in   field   desk 
No.  1. 

\  dozen  additional  in  field 
desk  No.  1. 

2  dozen  additional  in  field 
desk  No.  1. 

J   dozen  additional  in  field 

desk  No.  1. 
2  dozen  additional  in  field 

desk  No.  1. 
*1  in  field  desk  No.  1. 

Do. 
*100  in  field  desk  No.  1. 


Not  kept  in  store,  but  will  be 
furnished  whenprat'tirable 
and  the  needs  of  the  hos- 
pital justify  it. 

*Asreanired. 

2  additional  in  each  medical 
and  surgical  chest,  6  addi- 
tional in  sterilizer  chest. 

1  additional  in  supplemen- 
tary chest. 


1  additional  in  each  medical 
and  surgical  chest ,  2  addi- 
tional in  supplementary 
chest. 

6i  dozen  additional  in  each 

"medical  and  surgical  chest. 

i  dozen  additional  in  each 

medical  and  surgical  chest. 
1  additional  in  each  medical 

and  suri-'ic;d  chest. 
1  dozen  additional  in  supple- 

meiilary  chest. 
In  large  bedding  cases,  50  in 

each. 


May  be  enamel  ware  or  monel 
metal. 

2  additional  in  each  medical 
and  stn-gical  chest,  4  adtli- 
tional  in  sterilizer  chest. 


In  large  bedding  cases,  44  in 
each. 

In  largo  bedding  cases,  20  in 
each. 


MANUAL   FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY.  297 

Medical  supplies — Continued. 


Article. 


■a 
PI  . 


Remarks. 


(c)  Miscellaneous— Continued. 
Blankete,  rubber number . . 

Boiler,  instrument. do 

Books,  medical,  6010/ (par.  908) do 

Bottles,  4-liter,  for  antiseptic  solutions do 

Bougies.  Ilexible,  Nos.  U,  13,  16,  17,  20,  S^,  French  scale, 

number. 
Boxes,  folding,  for  tablets gross. . 

Boxes,  fracture,  folding number. . 

Boxes,  ointment,  3  in  nest nests. . 

Boxes,  pack  mule,  empty,  No.  1  (par.  909) number. . 

Boxes,  pack  mule,  empty,  Nos.  3,  3,  4,  5,  6,  7,  and  8  (par. 
909),  of  each,  number. 

Brooms,  corn number. . 

Brushes,  hand,  fiber do 


Brushes,  scrubbing do. . . 

Buckets,  enamel  loare,  3  in  nest nests. 

Buckets,  galvanized  iron numl^er. 

Burner  tips do... 

Cabinet,  for  dressings  and  instruments do. . . 

Candles poimds . 

Candles, lantern do. . . 

Case,  aspirating  (par.  910) number. 

Cases,  bedding,  large,  empty do... 

Cases,  bedding,  small,  empty do... 

Case,  ear,  nose,  and  throat  (par.  912) do... 

Cases,  emergency  (par.  913) do... 

Case,  eye  (par.  914) do. . . 

Cases, forceps,  hemostatic  (par.  915) do... 


140 


106 
23 


Cases,  general  operating  (par.  916) do — 

Ca.se,  genito-urivary  (par.  917) number. . 

Cases,  in^strumcnt,  nrdical  officer's  (par.  919) do — 

Cases,  medicine,  medical  officer's  (par.  920) do...'. 

Case,  microscopical  supplies,  supplementary  (par.  921), 

number. 
Case,  operating,  small  (par.  922) number.. 

Case,  post  mortem  (par.  924) do — 

Case,  tooth  crtractin^g,  .■?  forceps  in  canvas  roll do — 

Catheters,  flciifde,  k>*.wted,  Nos.  IS,  17,  18,  SO,  22,  24, 
French  scale,  number. 

Chairs,  folding number. 

Chests,  commode  (par.  928) do — 

Chests,  cooking  utensils  (par.  929) do — 

Chests,  medical  and  surgical  (par.  932) do  — 

Chest,  medical  and  surgical,  supplementary  (par.  933), 
number. 

CJiests,  sUrilizer  (par.  935) number . 

Cticsts,  tahleivare  (par.  936) do. . . 

Chest,tool,  No.  1  (par.937) do... 

Chest,  tool.  No.  a  (par.  938) do. . . 

Close  stools.    (See  Pails,  commode.) 

Cocoa,  8-ounce  tius tins. 

Coffee,  ground,  2  pounds  in  tin do — 

Corks,  assorted,  300  in  bag bags. . 

Corkscrews number. . 


Cots do. 

Cotton,  absorbent,  in  roll pounds . . 

Cotton,    absorbent,    sterilized,    in    1-ounce    package, 
packages. 

Crutches. ..: pairs . 

Crutches,  rubber  tips  for number . 

Cups,  enamel  ware do. . . 


4.50 

72 

,000 


1 

126 
31 
1 
3 
1 
5 

3 

1 


525 

72 

2,000 


70 


30 

2,000 


In  commercial  boxes,  35  in 
each. 


6  additional  in  supplemen- 
tary chest. 

1  gross  additional  in  each 
medical  and  surgical  chest. 

8  additional  in  each  medical 
and  surgical  chest. 


6  additional  in  each  medical 
and  surgical  chest,  6  addi- 
tional in  sterlizer  chest. 


Containers  for  bedding,  etc. 
Do. 


1  additional  in  each  medical 
and  surgical  chest. 


1  additional  in  each  medical 
and  surgical  chest. 

Do. 

3  additional  in  each  medical 
and  surgical  chest;  6  addi- 
tional in  supplementary 
chest. 


1  additional  in  supplemen- 
tary chest  and  1  in  medical 
and  smgical  chest. 


26    packages    additional    in 
each  medical  and  surgical 

chest. 


1  additional  in  each  medical 
and  surgical  chest;  2  addi- 
tional in  supplementary 
chest. 


298  majStual  for  medical  depaetment,  u.  s,  army. 

Medical  supplies — Continued. 


Article. 


(c)  iliscELLANEOus— Coatinued. 

Cushions,  rubber,  oper)^ center number. 

Cushions,  rubber,  small do. . . 

Cushions,  surgical,  Kelly's do. . . 

Cylinders,  Prest-O-T.ite,  70  cubic  feet,  filled do. . . 

Desks,  field,  N'o.  I  (par.  940) do... 

Desk,  field.  No.  2  (par.  941) do. . . 

Dippers do. . . 

Dishes,  Petri's,  for  needles,  etc.. . ; do. . . 

Eye  shades,  single do. . . 

First-aid  packets  (par.  944) do. . . 

Flag,  staff  for,  complete do. . . 


Flasli  light,  electric,  complete do. . . 

Flash  light,  electric,  batteries  for do... 

flash  light,  electric,  lamps  for do... 

Flasks,  empty  (par.  864) do. . . 

Flasks,  empty  (par.  907) do. . . 

Flasks,  Erlenmeyrr,  Hit(r do. . . 

Food,  ambulance  boxes  of  (par.  947) do. . . 

Food,  boxes  of  (par.  948) do. . . 

Gauze,  plain,  in  5- yard  rolls rolls. 

Gauze,  plain,  steriUzed,  2  half- yard  lengths  in  package, 

packages. 
Gauze,  sublimated,  2  half-yard  lengths  in  package, 

packages.  , 

G lobes,  Jantern.    (See  Lanterns,  s;lobes  for.) 

Gloves,  rubber,  sizes  8  and  0 pairs. 


Gowns,  operativa number. 

Graduates,  glass,  100  c.  c do. . . 

Graduates,  glass,  250  c.  c do. . . 

Hard  bread,  J  poimd  in  carton cartons. 

Htid  miiror.  in  case  (par.  93.3) number. 

Indl\idiial  dressing  packets  (par.  949) do. . . 

Inhalers,  chloroform,  Esmarch,  zvith  drop  bottles. .  .do. . . 

Irrigators,  glass,  graduated,  2-Uter do. . . 

Jars,  large,  for  dressings,  etc do. . . 

Jars,  small,  covered,  for  sutures,  etc do. . . 

Lanterns,  folding do. . . 

Lanterns,  globes  for,  green : do. . . 

Lanterns,  globes  for,  white do. . . 

Lanterns,  wicks  for dozen. 

Lanterns,  wilhout  globes  or  wicks number. 

Litters,  with  slings do. . . 

Lil  ters,  extra  canvas  for pieces. 

Litters,  extra  tacks  for,  75  in  package packages . 

Matches,  safety,  boxes dozen. 


2 

'i2' 

"24 

200 
1 


180 
750 


1,000 


180 
750 


200 
3 


Medicine  droppers do. 

Medicine  glasses number. . 

Microscope,  field,  with  accessory  case  (par.  950) do. . . 

Milk,  condensed,  unsweetened,  l-poimd  tin do. . . 

Mortars  and  pestles,  porcelain,  7  cm do 

Jifoiiars  and  pestJis,  Wedgcwond,  20  cm do 

Musnuito  bars.    (Sea  Bars,  mosgitito.) 

Muslin,  unbleached yards. 

Needles,  common,  assorted papers . 

■NTecdles,  surgical,  assorted dosen . 

Oihfhahnoscnpe number. 

J'aib,  commode  (close  stools) do. . . 

Piijanas,  coots do. . . 

Pajamas,  tro-u^ers do. . . 


12 
900 
9U0 


200 
3 


45 
6 

12 
1 

18 
99i) 
9U0 


2,250 


6 
150 
50 

3 
12 


2 

72 
1 

2,000 
2 


Remarks. 


6  additional  in  supplemen- 
tary chest. 

Flags  and  halyards  furnished 
by  Quartermaster  Corps 
(see  par.  892). 


40  packages  additional  in 
each  medical  and  surgiKil 
chest. 

2  pairs  additional  in  each 
medical  and  siu-gieal  chest; 
8  additional  in  stenlizer 
chest. 

1  additional  in  supplemen- 
tary chest. 


*1  in  supplementary  chest. 

1  additional  in  each  medical 
and  surgical  chest. 


6  boxes  additional  in  each 
medical  and  surgical  chest; 
6  In  slerilizer  cbost. 

J  dozen  additional  in  supple- 
mentary chest. 

1  additional  in  each  medical 
and  surgical  chest. 


Do. 


2  additional  in  supplemen- 
tary chest. 
Additional  in  operating  case.'?. 


90  \In   large  l>odding  case.<,   90 
i    si' 


suitii  to  the  case. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.  AKMY.  299 

Medical  supplica — Continued . 


Article. 


Miscellaneous — Continued. 

Paper,  litmu-s,  blue  and  red,  100  strips  in  ^nal,  of  each, 
vials. 

Paper,  toilet packages. . 

Paper,  wrapping,  bro-4vn quires. . 

Pencils,  hair,  1  dozen  in  vial vials. . 

Pill  tile,  hard  rubber number. . 

Pillow  cases,  cotton do 

Pillmo  sacks do 

Pins,  common,  assorted. papers. . 

Pins,  safety,  3  sizes gross. . 

Pitchers,  S-litcr,  enamel  ware number. . 

Plaster,  adhesive,  z.  o.,  5  yards  by  1  inch spools. . 

Plaster,  adhesive,  z.  c,  5  yards  by  2J  inches do — 

Plaster,  isinglass,  in  1-yard  roll yards. . 

Plaster,  moleskin do 

Plaster  of  Paris,  4  poimds  in  tin tins 

Pus  basins number 

Razors  (par.  932) do 

Razors,  strops  for  (par.  932) do. . . 

Regimental  hospital.   Equipment  "A''  (pars.  869  and 
872),  number. 


Rope,  |-mch feet . 

Saddle,  pack  (par.  953) number. 

Scales  and  weights,  apothecary's,  metric  system  (par.  845), 

number. 
Scissors  (par.  932) .number. 


100 
12 
12 

1 

1,200 

576 
21 
10 


150 
48 
12 

1 

2,000 
576 

21 
10 

3 

72 

36 
12 
20 
15 
3 


Sheeting,  rubber yards. .       20 

Sheets,  cotton number. .  1,320 

Silk,  oiled,  in  5-yard  roll rolls . 

Soap,  hand cakes. 


Soap,  Ivory do 

Soup,  assorted,  l-pound  tin tins. . 

Spatulas,  3-in-ch  (par.  932) number. . 

Specula,  ear,  set  of  3  (par.  933) sets.. 

Speculum,  rectal  (par.  933 ) number. . 

Snlints,  coaptation,  5  in  set sets . . 

S'pliiits,  Hodgcn's,  right  and  left,  of  each number. . 

Splints,  \yiie  gauze  for,  1  yard  in  roll rolls . . 

Splints,  \^'ood-veneer nimiber. . 

Spi^nges,  gauze,  1  dozen  in  box bo.xos. . 

Spools,  glass,  Halstead's number.. 

Sterilizer,  for  dressings do — 

Stethoscopes,  double  (par.  933) do — 

Stoppers,  rubber,  for  4-ounce  vials dozen. 

Stools,  revolving,  w.  e number. 

Stoves,  alcohol do 

Stoves,  alcohol,  extra  wicks  for do 

Sugar,  granulated,  4  pounds  in  tin tins. 

Surgical  dressings  (par.  955) boxes. 

Surgical  dressings,  ambulance  (par.  954) do 

Sutures,  catgut,  cnromicizea,  sterilized,  18  inches  each, 

3  sizes  in  paf  kage,  packages. 
Sutures,  catgut,  plain,  sterilized,  18  inches  each,  3  sizes 

in  packaae,  packages. 
Sutures,  horsehair,  100  in  coil coils. 


30 
1,920 


500 

500 

12 


36 
12 
36 

150 


800 

800 

12 


12 
100 


120 
■120 


300 
1 


24 

'ioo' 


100 
200 


Remarks. 


1  additional  in   supplemeo* 
tary  chest. 


1  additional  in  each  medical 

and  surgical  chest. 
1  additional  in  supplemen- 

tarj'  chest. 
In  small  bedding  cases,  409 

in  each. 
In  small  bedding  cases,  144 

in  each. 

1  additional  in  each  medical 
and  surgical  chest. 

2  dozen  additional  in  each 
medical  and  surgical  chest. 

For  operating  room. 

3  additional  in  each  medical 


12 

16 

24 

12 

300 

5  00 


and  surgical  chest. 


*1  in  each  medical  and  sui> 
gical  chest. 
Do. 

Should  be  kept  intact  for 
prompt  issue  in  case  a  regi- 
ment is  detached  for  inde- 
pendent action. 


1  additional  in  each  medical 

and  surgical  chest. 

In  small  bedding  cases,  120  in 
each. 

2  additional  in  each  medical 
and  singical  chest;  5  addi- 
tional in  sterilizer  chest. 


1  additional  in  each  medical 

and  sui-gical  chest. 
*1  in  sunplemenlary  chest. 
J3o. 


12  additional  in  supplemen- 
tary chest. 


*1  Arnold  sterilizer  in  steri- 
lizer chest. 

1  additional  in  supplemen- 
tary chest. 

For  operating  room. 
1     additional     in     sterilizer 
chest. 


10  additional  in  each  medical 

and  smgical  chest. 
20  additional  in  each  medical 

and  surgical  chest. 


300  MANUAL   FOR   MEDICAL  DEPARTMENT^   U.    S.   ARMY. 

Medical  supplies — Continued. 


Article. 


(c)  Miscellaneous— Continued. 

Sutures,  silk,  braided,  sterilized,  18  inches  each,  3  sizes 

in  package,  packages. 
Sutures,  silkworm  gut,  100  in  coil coils. 

Sutures,  silver-wire,  yard  lengths .  yards. 

Syringes,  fountain.    (See  Bags,  rubber,  }wl-watcr,  and 
s;jringe.) 

Syringes,  hypodermic  (par.  956) number.. 

Syringes,  hypodermic,  extra  needles  for do — 

Syringes,  penis,  glass,  in  case do — 

Syrinffc,  rectal,  h.  r.,  6-ouncc  (par.  933) do — 

Tables,  bedside,  folding do. .  - 

Tables  for  instruments do — 

Tables,  mess,  folding do. . . 

Tables,  operating,  field,  folding do. . . 

Tablf,  operating,  post  standard do. . . 

Tags,  diagnosis books. 


Tape  measure,  CO  inches munber. 

Tea,  green  or  black,  J  pound  in  package packages. 

Test  tubes,  3  m  nest nests. 

Test  tubes,  1  by  12  inches dozen. 

Thermometers,  cUoical number. 

Thread,  cotton,  assorted spools. 

Tongue  depressors,  metal munber. 

Tourniquets  (par.  907) do. . . 

Tourniquets  and  bandages,  rubber do. . . 

Towels,  bath dozen. 

Towels,  dish do. . . 

Towels,  hand do... 

Trays,  instrument,  enamel  ware number. 

Tulje,  stomach do. . . 

Tubing,  drainage,  unperforated,  Nos.  1, 2,  and  3. .  yards. 


Twine,  coarse. pounds. 

T  w  i  ne ,  fme do... 

Typewriters number. 

Typewriter,  record  ribbons  for do. . . 

Vriaals,  enamel  ware  or  agate  ware a'" 

t'rinometers do. . . 

T'<  nercal  prophylaxis  unit  (par.  958) do. . . 

Vials,  1-ounce.' do/.en. 

Vials,  2-ounce do. . . 

Vials,  4-ounce do. . . 

Wire  cutters number. 


B  P. 


300 
12 
12 


72 


30 


400 
12 
24 


12 
75 

6 
144 

3 
30 


350 

36 

8 


12 
144 


Remarks. 


Total  weight,  packed pounds.  .34, 663|44,311  1 1.862 


Cubic  space , feet..  2.104  2,938 


10  additional  in  each  medical 

an(\  surgical  chest. 
1  additional  in  each  medical 

and  surgical  chest. 


Do. 

12  additional  in  each  medical 
and  sm-gieal  che?t. 

12  additional  in  supplemen- 
tary chest. 

*1  in  supplementary  chest. 


2  additional  in  each  medical 
and  surgical  chest;  12  addi- 
tional m  supplementary 
chest. 

1  additional  in  supplemen- 
tary chest. 

2  additional  in  supplemen- 
tary chest. 

6  additional  in  each  medical 
and  surgical  chest 

1  additional  in  supplemen- 
tary chest. 

1  additional  in  each  medical 
and  surgical  chest. 

For  Hospital  Corps  belts. 

1  additional  in  ea"h  medical 
and  surgical  cliest. 

In  largo  beiding  cases,  5 
dozen  in  ea^h. 

2  dozen  a'.lditional  in  chest, 
cooking  utensils. 

In  small  bedding  eases,  24 
dozen  in  each. 

2  additional  in  sterilizer  chest. 

*1  in  supplementary  chest. 

2  pices  additional  in  each 
medical  and  surgical  chest; 
6  additional  in  supplemen- 
tary chest. 


( C.  M.  M.  D.,  No.  S.) 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  301 

892  QUARTERMASTER   SUPPLIES. 

[These  supplies  are  not  kept  in  store  in  Medical  Department  depots.] 


Article. 


Evacua- 
tion 
hospital. 


Base 
hospital. 


Remarks. 


Axes,  with  helves number. 

Bags,  water,  sUrilizing do. . . 

Brush,  marking do. . . 

Bugles,  loith  sling do... 

Canvas,  12.4  ounces yards. 

Cement,  ambroid ounces. 

Flag,  distinguishing.  Red  Cross number. 

Flag,  halyards  for i do. . . 

Flag,  national,  storm do. . . 

Lampblack pounds. 

Paulina number. 

Pickaxes,  with  helves do. . . 

Pot,  marking do... 

Rakes,  st^el do. . . 

Range,  field   No.  1 do. . . 

Spades do. . . 

Stick,  size,  shoe do. . . 

Stoves,  tent,  with  pipe  and  other  accessories do. . . 

Stretcher,  shoe do. . . 

Taj)e  measure,  foot do. . . 

Tentage,  heavy: 

Canvas,  latrine  screen do. . . 

Covers,  canvas,  for  ward  tents do. . . 

Tents,  hospital,  complete do. . . 

Tents,  pyramidal,  large,  complete do... 

Tents,  wall,  small,  complete do. . . 

Tents,  ward,  complete do. . . 

Total  weight,  packed pounds. 


For  repair  of  tents. 
Do. 

Istaff   furnished   by    M.    D. 
f    (See  par.  891.) 


For  contents  see  Equipm«nt 
Tables,  Q.  M.  Supplies. 


*When  prescribed.  For  al- 
lowance, see  Equipment 
Tables,  Q.  M.  Supplies. 


*Base  hospitals  will  be  fur- 
nished with  heavy  tentage 
only  v\'hen  buildings  are 
not  available. 


2,922 


(C.  M.  M.  Z>.,  No.  3.) 

BASE  MEDICAL   SUPPLY  DEPOT. 

(See  pars.  782  to  786.) 

893.  The  supplies  to  be  kept  for  issue  by  the  depot.s  in  the  theater 
of  operations  are  determined  upon  as  indicated  in  paragraph  782. 

894.  As  a  guide  in  organizing  a  base  medical  supply  depot  the 
following  list  of  articles  is  suggested  as  meeting  the  requirements  for 
office  and  storeroom  equipment. 

(o)   MEDICAL   SUPPLIES. 


Blank  forms  (see  pars.  960  to  965). 

Brooms,  com number. . 

Buckets,  galvanized  iron do 

Chest,  tool.  No.  1  (par.  937) do 

Desks,  field.  No.  1  (par.  9W) do.... 

Lanterns,  globes  for,  white do 

Lanterns,  v.-ieks  for dozen. . 

Lanterns,  without  globes  or  luicks number. . 


Paper,  wrapping,  brown qmres. . 

Scales  and  weights,  platform. number. . 

Stationery  (to  be  selected  from  post  suppUes, 
par.  844). 

Twine,  coarse pounds . . 

Twine,  fine do. . . , 

Tvpewritert number. 

ffypewriters,  record  ribbons  for do — 


{h)   QUARTERMASTER   SUPPLIES. 


Axes,  with  helves number. 

Brushes,  marking do 

Cans,  drinking  water do. . . 

Flag,  distinguishing,  Red  Cross do 

Flag,  halyards  for do 


Flag,  national,  storm number. 

Lampblack poimds. 

Pots,  marking number. 

Range,  field,  No.  2 do. . . 

Spades do... 


102 


MANUAL  FOR  MEDICAL  DEPARTMENT^   U.    S.   ARMY. 


ADVANCE  MEDICAL  SUPPLY  DEPOT. 

(See  pars.  787  to  792.) 

895.  If  the  advance  depot  is  more  or  less  stationary  and  occupy- 
ing buildings  it  will  be  organized  like  the  base  depot  and  require 
similar  equipment.  On  the  other  hand,  if  this  depot  is  keeping  in 
close  touch  with  troops  in  active  operations  it  will  constitute  a 
rolling  reserve  for  the  divisions  at  the  front.  Under  these  condi- 
tions, its  own  equipment  and  the  supplies  it  keeps  on  hand  for  issue 
will  be  limited  by  the  character  and  quantity  of  transportation 
available  for  its  use. 

FIELD   LABORATORY. 

896.  The  technical  supplies  for  a  field  laboratory  are  contained  in 
the  following  chests,  case,  etc.  The  other  equipment  necessary  in 
furnishing  the  laboratory  will  be  supplied  on  requisitions  approved 
by  the  surgeon,  base  group. 


Case,  microscopical  supplies,  supplementary 

(Dar.  921) number. . 

Chest,  field  laboratory  No.  1  (par.  9.30). .do. . . . 
Chrst,  field  laboratory  No.  2  (par.  931).. do — 
Crate,  field  laboratory  (par.  939) do — 


Microscope,  field,  U'ith  accessory  case  (par. 
950) number. 

Total  weight pounds. 


EVACUATION  AMBULANCE   COMPANY. 

897.  The  supplies  and  equipment  of  an  evacuation  ambulance  com- 
pany are,  with  the  exceptions  noted  in  paragraph  806,  similar  to 
those  of  an  ambulance  company.  The  dressing-station  supplies  may 
be  used  in  establishing  rest  stations. 

HOSPITAL  SHIPS   AND    SHIPS   FOR  PATIENTS. 

898.  These  ships  will  be  equipped  under  special  instructions  from 
the  Surgeon  General. 

HOSPITAL  TRAINS   AND   TRAINS   FOR  PATIENTS. 

899.  Hospital  trains,  to  consist  ordinarily  of  10  cars,  will  be 
equipped  under  special  instructions  from  the  Surgeon  General. 

900.  Litter  fittings  for  the  conversion  of  box  cars  for  hospital  pur- 
poses are  supplied  by  the  Medical  Department.  These  fittmgs  are  so 
assembled  as  to  provide  transportation  for  24  recumbent  patients  in 
each  car. 

OFFICE  OF  THE  CHIEF  SURGEON,  FIELD  ARMY,  AND  OF 
THE  SURGEON,  BASE  GROUP. 

901.  No  definite  equipment  is  prescribed  for  these  offices.  The 
chief  surgeon,  field  army,  is  not  an  administrative  officer  and  will 
therefore  not  require  as  much  office  equipment  as  a  division  surgeon. 
On  the  other  hand,  as  no  transportation  is  required  for  the  office 
equipment  of  the  surgeon,  base  group,  it  will  bo  unnecessaiy  to  limit 
his  supplies  to  those  allowed  division  surgeons.  (For  division  sur- 
geon's office  equipment,  see  par.  884.) 


ARTICLE   XX.— FORMULAE,    CONTENTS   OF 
CHESTS,  CASES,  ETC. 

902       FORMULAE  OF  NONOFFICIAL  COMPOUND  MEDICI- 
NAL PREPARATIONS,  LISTED  IN  THE  SUPPLY  TABLES. 


Foot  powder. 

Acidiiin  salicylicum parts. . 

Amyliun do 

Talcum  piilvis do 

Hydrargyri  chloridum  corrosivwm,  tablets  (anti- 
septic). 

Ammonii  chloridum mgms. . 

HydrargvricUloridumcorrosivum- .  .mgms. . 
"One  tablet  to  h  liter  of  water  makes  a  1  to 
1,000  solution. 

Linimentum  rubefacicns. 

Camphora mgms. . 

Capsicum .mgms. . 

Extractum  belladomiao  foUorum mgms. . 

Dissolve  2  tablets  in  30  c.  c.  of  alcohol. 

Mistura  glycyrrhizae  composita,  tablets. 

Acidmn  benzoicum mgms.. 

Autimonii  et  pot.  tartras mgms. . 

Extractum  glycyrrhizae  purum mgms. . 

Camphora mgms. . 

Oleum  anisi mgms. . 

Opium mgms. . 

'Each  tablet  is  the  practical  equivalent  of 
4  c.  c.  of  Brown  mixture. 

Normal  saline  solution  tablets. 

Sodii  carbonas  monohydratus,  chemically 
piu-e gms.. 

Sodii  chloridum,  chemicallv  pure gms.. 

Three  tablets  to  a  liter  make  a  0.6  per  cent 
solution  of  sodium  chlorid. 


475 
500 


250 
250 
250 


2.5 

1 

6 

2.5 

2.5 

2.5 


Peptoniizing  tablets. 

Pancreatinum mgms . 

Sodii  bicarbonas mgms. 

One  tablet  peptonizes  250  c.  c.  of  milk. 

Pilulae  aloini  compositae,  chocolate  coated. 

Aloinum mgms. 

Belladonnae  fol.  ext mgms. 

OleoresLna  capsici mgms. 

Podophvlli  resina mgms. 

Strychmna... mgms. 

Pilulae  eamphorae  et  opii. 

Camphora mgms. 

Opiiun .mgms. 

Pilulae  copaibae  compositae. 

Copaiba mgms. 

Ferri  citras mgms. 

Guaiaciun mgms. 

Oleoresiua  cubebac mgms. 

,  Pilulae  ferri  compositae. 

Ferri  pyrophosphas mgms. 

Quininae  sulphas mgms. 

Strychuiaae  sulphas mgms. 

Sodii  bicarb,  et  mentha  pip.,  tablets. 

Ammonii  carbonas mgms. 

Oleum  menthae  piperitae mgms. 

Sodii  bicarbonas mgms . 


162 

4S7. 5 


8 
8 

2.7 
8 
.8 


130 
65 


100 
24 
24 
40 


16 

5 
258 


VETERINARY. 


Pilulae  aloini  compositae 
{equine  purgative). 

Aloinum grams 

Hydrargyri  chloridi  mite do.. 

Strychninae  sulphas do . . 

Oleoresina  zingiberis do. . 


4.250 
1.000 
0.016 
0.325 


Sulphoearbolas  composita  tablets. 


Zinci  sulphocarbolas mgms. 

Sodii  sulphoearbolas do... 

Calcii  sulphocarbolas do. . . 


650 
650 
6.50 


(a  M,  M.  D.  No.  4.) 

CONTENTS  OF  CHESTS,  CASES,  ETC.,  AND  SPARE  PARTS. 

QQQ  APPARATUS,    COMPRESSED    AIR. 


Air  container,  with  gauge number. . 

Cut-off,  metal do 

Force  pump do 

Sprays,  De  Vilbiss's.  in  set,  viz:' 

Atomizer,  Fig.  Sfi do 

Atomizer,  Fig.  80 do 


Spravs,  De  Vilbiss's,  in  set,  viz— Continued. 

Atomizers.  Fig.  5i ...number.. 

Rack,  four  holes do 1 

Tubing,  thick  rubber,  connecting  eontamer 

with  force  pump yards. . 

TuIHng,  thick  rubber,  silk-covered,  connect- 
ing container  with  cut-off yards. . 


1  For  larger  posts,  recruit  depots,  and  general  hospitals  a  larger  set  may  be  furnished. 

303 


304  MANUAL   FOR   MEDICAL   DEPARTMENT,   V.    S,    ARMY. 

QQ^  APPARATUS,   RESTRAINT. 

(/ti  wooden  box,  witTi  handle  and  loci:.) 


AnkUts pairs.. 

Keys  to  lock  buckles number. . 

Miiif,  leather do 


Strap,  bed number. 

Strap,  waist do. . . 

Wristlets pairs . 


905. 


BAG,    OBSTETRICAL. 

(In  leather  case.) 


Cases,  canvas,  for  instruments number. . 

Container,  metal. for  stiturrs do 

Containers,  metal,  with  bottles  for  antiseptic 
tablets,  chloroform,  and  ergot,  and  jar  for 

petrolatum number . . 

Cranioclast do 

Forceps,  obstetrical,  Elliott's do 

Forceps,  obstetrical,   Tarnier's,  axis  traction, 

Lu.^k's  modification number. . 

Forceps,  placental do — 


Hook,  blunt,  Braun's number. 

Needle  holder do. . . 

Needles,  case  for do. . . 

Needles,  surgical,  assorted do. . . 

Pelvimeter,  Martin's do. . . 

Perforator,  Smellie's do... 

Scissors,  curved  on  flat,  one  point  sharp,  SJ", 

Sim's number. 

Sutures,  catgut grams. 

Sutures,  silk do. . . 


906. 


BEDPANS,   ETC.,   BOX  OF. 

(Pine  box  with  hinged  lid  and  hasps,  weight  88  pounds.) 


Bedpans,  white  enamel number. . 

Pots,  chamber,  white  enamel do 


Urinals,  white  enamel number.. 


907.  BELT,   WEB,   HOSPITAL   CORPS. 

(The  belt  itself,  with  pouch  for  instruments,  is  furnished  by  the  Medical  Department.) 
CONTENTS  OF  BELT. 


Article. 


Bandages,  gauze,  comnressed number. . 

Gauze,  sublimated,  two  i-yard  pieces  in  package, 

packages. 
Individual  dressing  packets  (par.  949) .  .number. . 

Iodine  swabs,  6  in  box boxes. . 

Pins,  common papers. 

Pins,  safety dozen . . 

Plaster,  adhesive,  z.  o.,  5  yards  by  1  inch. spools. 
.Spiritus  ammoniae  aromaticus,  in  flask  with  cup. 

Tourniquet,  field number. 


Place  in  belt.    (Pockets  are  numbered  from  left 
front  around  belt  to  right  front.) 


Pocket  No.  9. 
Pocket  No.  3. 

Pockets  Nos.  4,  5,  6,  7,  and  8. 

Pocket  No.  2. 

Pocket  No.  10,  front  compartment. 

Pocket  No.  1,  front  compartment. 

Pocket  No.  1. 

Pocket  No.  10. 

Pocket  No.  1. 


CONTENTS   OF   POUCH. 


Case,  linen  or  canvas,  containing: 

Forci  ps,  dressing number. 

Scissors,  dressing do — 


Pencil,  lead,  with  metal  cap number. 

Tags,  diagnosis books. 


I^OTE.— Medical  officers  are  authorized  to  make  such  changes  as  they  desire  in  the  expendable  contents 
of  the  belts  worn  by  their  orderhcs.  Under  some  circumstances  it  may  also  be  desira'ole  to  make  substi- 
tutions in  the  contents  of  belts  vvorn  by  noncommissioned  officers.  In  case  of  transfer  of  the  belt  to  another 
medical  olhcer  the  standard  contents  should  be  restored. 

(C.  M.  M.  D.,  No.  3.) 

903.  BOOKS,   MEDICAL,   BOX  OF. 

(Pine  box  with  hinged  lid,  hasp,  and  padlock,  weight  about  35  pounds.) 

Contains  such  works  on  surgery,  practice  of  medicine,  tlicrapeu- 
tics,  military  hygiene,  tropical  diseases,  nursing,  and  medical  field 
service  as  may  be  selected  by  the  Surgeon  General. 

The  list  of  books  on  the  inside  of  lid,  signed  by  the  ofhcer  in  charge 
of  a  supply  depot,  will  be  the  authorized  list  of  contents. 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.    ARMY. 


305 


909. 


BOXES,  PACK  MULE. 


These  boxes  are  fiber  or  canvas  covered  chests  with  locks  and  keys 
and  with  outside  dimensions  approximately  the  same  as  those  of  the 
medical  and  surgical  chest  (par.  932).  The  number  of  each  box  is 
plainly  marked  on  the  outside,  and  on  the  inside  of  the  cover  of  each 
box  is  a  list  of  the  articles  it  is  intended  to  contain,  with  directions  for 
packing  them. 

Box  No.  1,  with  contents,  and  one  medical  and  surgical  chest,  con- 
stitute the  side  loads  for  the  pack  mule  assigned  to  the  sanitary  service 
of  each  regiment.     (See  par.  868.) 

Boxes  Nos.  2,  3,  4,  5,  6,  7,  and  8,  with  their  contents,  and  one  med- 
ical and  surgical  chest,  constitute  the  side  loads  of  the  ambulance 
company  pack  mules.     (See  par.  878.) 

The  weight  of  each  box,  empty,  must  not  exceed  30  pounds,  except 
that  of  box  No.  2,  which  may  be  31  pomids. 

Note.— Until  the  supply  is  exhausted  empty  surgical  chests  (par.  S94,  M.  M.  D.  1911)  vAth  certainmcdi- 
fications  of  the  trays  will  be  issued  in  place  of  boxes  3,  4,  5,  and  6  of  the  new  model. 


910. 


CASE,   ASPIRATING. 

{In  metal  case.) 


Needles,  aspiraiing number. . 

Obturator,  blunt,  for  canuli do 

Pump do — 

Trocar  and  canula  with  stopcock do — 


Tube,  double  current,  metal,  with  rubber  stop- 
per  number. 

Tube,  metal,  with  extra  wires do... 

Tubing  attachments do. . . 

Tubing,  rubber pieces. 


Note.— Many  of  the  older  cases  are  of  leather  or  wood. 
91 X,  CASE,   DENTAL. 

(In  leather-covered  case.) 


Burnishers,  Nos.  S,S0,S6 number. . 

Chisels,  Nos.  6  and  6 do 

Brill,  flat,  spear-pointed  No.  103 do 

Engine  bit  h rMcr,  revolmng  head do 

Explorer,  No.  5 do 

Excavators,  Nos.  10,  U,  16,  SI,  4i,  S3,  86,  Ul, 

H3, 145 number. . 

Files,  Nos. 00,0,  1,  of  each do 


Forceps,  college number. 

Gutta-percha  stopping ounces. 

Handles  for  instruments number. 

Hone do... 

Mirror do. . . 

Paper,  bibulous sheets. 

Scaler,  No.  3 number. 

Spatula,  No.l do. . . 


70156°— 18 20 


306 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 


912. 


CASE,  EAR,  NOSE,  AISTD  THROAT. 

(a)   MODEL   OF   1916. 


(In  canvas  roll,  with  metal  case  for  delicate  instruments.    Outline  of  instrumenta  stamped  on  roll  and  names 
of  contained  instruments  stamped  in  case.) 


Adenatome,  La  Force number. . 

Applicators,  nasal,  special do 

Applicators,  nasal,  Bosworth's... -do 

Catheters,  eustachian,  silver,  size,s  1,2, 3Ao 

ChiseU,  mastoid,  Schwartz's,  sizes  1  and  S, 

numbor 

C'-isel,  VMsal,  Freer's,  submucous.. Jmiraher.. 
C'l-rctles,  adenoid,  Barnhill's,  sizes  1,  3,  4j 

number --•• 

Curettes,   mastoid,  Buck's,  sizes  1  and  3, 

number 

EU'jitor,    dull-edged,     Freer's,    submucous, 

number 

EleiV.or,  sharp-edged,    Freer's,  submucous, 

number 

Forceps,  eir,  angular,  Wilde's num^ber.. 

Forceps,  nasal,  angular.  Knight's do 

Forceps,  oesophageal,  spiral do 

Fffrceps,  sepiufn,  compression,  A.sch'S. .do 

Forceps,  septum,  Jansen^Jiliddleton,  modi- 

~jicd number.. 

Forceps,  tonsil-seizing,  Burrows do 

Gag,  mouth,  Denhart's do 

Gouges,  mtstoid,  Schwartz's,  sizes  1  and  2, 

number 

Headband,  mefal. folding,  WorraU's.numheT.. 
Head  mirror,  3h-inch,  with  ^inch  opening, 

number '. 

Knife,  paracentesis,  small,  light,  flexible  shank, 

niunber 


Knife,  submu<:ous,  Freer's,  flat,  round- 
bladed number. . 

Knife,  submucous,  Freer's,  half-round, 
straight number . . 

Knife,  swivel,  Ballenger's,  small  size. .  .do 

Knives,  turbinate,  Ballenger's,  right  and  left, 
of  each number.. 

Mirrors,  laryngeal,  boilable  (^inch  and  1-inch 
diameter) number. . 

Otoscope,  Siegel's,  pneumatic,  with  S  specula, 
number 

Punch,  antrum,  Wagner's,  consisting  of  1 
universal  handle,  with  1  forward  and  1  back- 
ward cutting  tip number. . 

Scissors,  nasal,  Watson's,  saw-edge do 

Separator,  tonsil,  special  model do 

Snare,  tonsil,  Tydin-g's,  1  plain  and  1  ring  tip, 
number 

Specula,  ear.  Brown's,  metal,  set  ofS sots.. 

Speculum,  nasal,  bivalve,  Bosworth's.  number. . 

Speculum,  nasal,  septal,  Goldstein do 

Syringe,  ear,  with  metal  shield,  Pomeroy's, 
bounce number. 

Syringe,  tonsil,  leith  extension,  metal,  ivith  3 
finger  rings  and  S  needles,  gold  points,  1 

curved  and  1  straiqht number. . 

Tongue  depressor,  Bosworth's do.. 

Tube,  diagnostic,  Toynbec's do. . 

Wire, for  snares,  sizes  3,  5,  7 spools.. 


(6)   MODEL   OP  1913. 

(_In  canvas  roll,  with  metal  case  for  delicate  instruments.    Outline  of  instruments  stamped  on  roll  and  names 
of  contained  instruments  stamped  in  case.) 


Applicators,  nasal,  A  lien's number. . 

Applicators,  nasal,  Bosworth's do — 

Catheters,  eustachian,  silver,  sizes  1, 2,  S.do 

Chisels,  mastoid,  Schwartz's,  sizes  1  and  2, 

number 

Chisel,  nasal,  Freer's  submucous number. 

Curettes,  adenoid,  Barnhill's,  sizes  1,  S,  i, 

numbor 

Curettes,    mastoid.   Buck's,  sizes  t  and  S, 

nimiber 

Elevator,     duU-egcd,     Freer's,     submiicous, 

number 

Elevator,   sharp-edged,    Freer's,  submucous, 

number 

Forceps,  ear,  angular,  Wilde's number.. 

Forceps,  nasal,  angular.  Knight's do — 

Forceps,  (Esophageal,  spiral do 

Forceps,  postnasal,  Brandegee's do... 

Forceps,     septum,     compression,     Asch's, 

numbor 

Forceps,  tonsil-seizing,  Ballenger's. . nurahQT . 

Gag,  mouth,  Denhart's do... 

Gouges,  mastoid,  Schwartz's,  sizes  1  and  2, 

number 

Headband,  metal; folding,  Worrall's.uuia^QT. 
Head  mirror,  3'2-inch,  with  ^inch  opening, 

number 

Knife,  paracentesis,  small,  light,  flexible  shank, 

number 


Knife,  submucous,  Freer's,  flat,  round-bladed, 

number ■ 

Knife,     submucous,     Freer's,     half-round, 

straight niunbor. . 

Knife,  swivel.  Ballenger's,  small  size . .  .do — 
Mirrors,  laryngeal,  boilable  {^-inch  and  1-inch 

diameter) number. 

Otoscope,  Siegel's,  pneumatic,  with  3  specula, 

number 

Punch,  antrum,  Wagner's,  consisting  of  1  vni- 

versalhandle,  with  Iforumrd and  1  backward 

cutting  tip number.. 

Punch,   septum,    Foster-BalUnger's,  small, 

number 

Saws,  nasal,  Bosworth's,  1  up-cutting  and  1 

down-cutting number. 

Scissors,  nasal,  Watson's,  saw-edge do... 

Snare,  tonsil,  Tyding's,  1  pMnand  1  ring  tip, 

number 

Specula,  ear.  Brown's,  metal,  set  of  3 — sets. 
Speculum,  nasal. bivalve.  Coakley's.  .number. 
Syringe,  ear,  with  metal  shield,  Pomeroy's 

2-ounce numbor. 

Syringe,  tonsil,  with  extension,  metal,  with  3 

finger  rings  and  2  needles,  gold  points.  1 

curved  ayid  1  straight niunber. 

Tongue  depressor,  Bosworth's do. . . 

Tube,  diagnostic.  Toijnbee's do. . . 

Wire,  for  snares,  sizes  3,  5,  7 spools. 


I'Jll 


Note.— A  number  of  older  model  cases  are  in  service,  contents  of  which  are  listed  in  par.  Slo,  M.  M.  D. 


IVEAlSrUAL  FOR  MEDICAL  DEPARTMENT^  U.   S.   ARMY. 


307 


(c)    MODEL   OF   1917. 

(7re  canvas  roll,  with  metal  case  for  delicate  instruments.    Outline  of  instruments  stamped  on  roll  and  name 
of  contained  instruments  stamped  in  case.) 


Adenotome,  La  Force's 

Applicators,  nasal,  Bosworth's 

Applicators,  nasal,  special 

Catheters,  Eustachian,  silver,  sizes  1,  2,  and  3  {of  each,  1). 

Cliisds,  mastoid,  Schwartz's,  sizes  1  and  '2  {of  each,  1) 

Chisel,  nasal.  Freer' s,  submucous 

Curettes,  adenoid,  BarnhilVs,  sizes  1,  3,  and  4  (of  each,  1). 

Curettes,  mastoid.  Buck's,  sizes  1  and  3  {of  each,  1) 

Drill,  antrum,  Pope's 

Elevator,  submucous,  dull-edged,  Freer's 

Elevator,  sttbwvcous,  sharp-edged,  Freer's 

Forceps,  ear,  an^gulur,  Wilde's 

Forceps,  nasal,  angular,  Knight's,  screw  lock 

Forceps,  ocsopia/jeal,  spiral 

Forceps,  septum,  comqiression,  Asch's 

Forceps,  septum,  Janscn- Middleton,  modified 

Forceps,  tonsil-seizing 

Gag,  mouth  {Denhart's) 

Gouges,  mastoid.  Schwartz's,  sizes  1  and  S  {of  each,  1) 

Headband,  metal,  folding , 

Head  inirror,  SA-wcft,  witli  h-inch  opening 

Knife,  paracentesis,  small,  tight,  flexible  shank 

Kmfe,  szibm-'icons,  Freer's,  fiat,  round-bladed 

Kri  ije,  submucous,  Freer's,  half-round,  straight 

Knife,  swivel,  Batlenger's,  small  size 

Knives,  turbinate,  BallenJjer's,  right  and  left  {of  each,  1)... 

Mirrors,  laryngeal,  bailable,  sizes  1  and  3  {of  each,  1) 

Otoscope,  Siegel's,  pneumatic,  metal,  with  3  specula 

Scissors,  nasal.  Knight's,  screw  lock 

Separator,  tonsil,  special  model 

Snare,  to7isil.  Brown's,  1  plain  and  1  ring  tip 

Specula,  ear,  Brown's,  metal,  set  of  3 


Speculum,  nasal,  bivalve,  Bosworth's,  tempered  steel 

Speculum,  nasal,  septal,  Goldstein's,  tempered  steel 

Syringe,  ear,  with  metal  shield,  Pomeroy's,  3-ounce 

Syringe,  fnsil,  with  extension,  metal,  with  S  finger  rings  and  2  needles,  gold  points,  1  curved 

and  1  straight -' 

Tonfue  depressor,  Bosu'orth's,  steel  plate 

Tuhe,  diagnostic,  To'/nbee's,  tchite  and  black  tivs 

Tubes,  trachea,  regufar,  Chevalier-Jackson,  full  curve,  German  silver,  silver  plated,  sizes  S,  3, 

4,  5,  and  6  {of  each,  l) 

Wire,  for  snares,  sizes  3,  S,  and  7  {of  each,  2  spools) 


Catar 

lo^io 
No. 


513 
514 
513 
53G 
507 
505 
515 
506 


501 

535 
526 
522 
525 
523 
517 
311 
508 
539 
-53« 
533 
503 
504 
510 
509 
537 
532 
527 
516 
520 


512 
511 

528 

519 
541 
534 

540 

521 


Quan- 
tity. 


Number. 
1 
4 
4 
3 
2 
1 
3 
2 
1 
I 
1 
1 
1 
1 
1 
1 


1 
1 
1 
1 
1 
1 
2 
2 
I 
I 
1 
1 
Sets. 
1 
Number. 
1 
1 
1 

1 
1 
1 


Spools. 
6 


Note.— CataloCTie  numbers  taken  from  "  List  of  Staple  Medical  and  Siirgical  Supplies,  Council  of  National 
Defense,  Washington,  D.  C,  May,  1917." 


(O.  M.  M.  D.,  No.  3.) 


913, 


CASE,  EMTIRGEI^-CY. 

{In  aluminum,  brass,  or  leather  case,  with  detachable  sling.) 


Tablets,  in  h-ounce  h.  r.  bottles: 

Acetplienetidinum  (Phenacetin), 

mems 

Aspirin mgms.. 

Bismuthi  subnitras do 

Catfeina  citrata do 

Heroini  hydrochloridum do 

Hydrargyri  chlor.  corros.  (par.  902) 

Hydrargyri  chlor.  mite mgms. . 

Mistura  glycyrrh.  comp.  (par.  902) 

Morphinae  sulphas mgms. . 

Piliuae  aloini  comp.  (par.  902) 

Pilulae  camphorae  et  opii  (par.  902. ) 

Pilulae  cathart.  comp 

Potassii  bromiduin msjms. . 

Pulvis  ipeeac.  et  opii do 

Quininae  sulphas do. . 

Sodli  hicarbonas do 

Sodii  bicarb,  et  menth.  pip.  (par.  902).. . 

Sodii  salieylas mgms . . 

Tinctnra  digitalis c.  c. 

Veronal m.gms. . 


324 

324 

324 

65 

5.5 


32 


3i4 
324 
200 
324 


324 

0.3 
324 


Tablets,  hypodermic,  extra  (one  tube  of 
each): 

Digitalmum. mgms. 

Quininae  hydrochlorosulphas do. . . 

Instruments,  etc.:  . 

Bistouries,  curved  and  straight,  of  each, 
number 

Case,  linen,  for  instruments number. 

Forceps,  dissecting do... 

Forceps,  hemostatic do. .. 

Needles,  si irgical,  assorted do. . . 

Plaster,  isinglass,  5  by  18  inches.,  .rolls. 

Scalpel number. 

Scissors,  straight do. . . 

Sutures,  silk,  sterilized,  3  sizes  in  pack- 
age  .packages. 

Suture,  silver  wire,  sterUi/ed,  1  yard, 
packages 

Syringe,  hypodermic  (par. 956).. number.. 

Thermometer,  clinical do. 


Note.— For  tropical  use  the  contents  oi  the  emergency  case,  as  listed  above,  are  packed  in  a  canvas  roll, 
each  roll  containing,  in  addition,  a  brass  boi  for  sutures  and  hypodermic  tubes. 


308 


MANUAL   FOR   MEDICAL   DEPARTMENT^   U.    S.   ARMY. 


914. 


CASE,    EYE. 

{In  mahogany  case.) 


Curette,  chalazion,  Meyhocfer's,  size  2, 
number 

Cysiolome,  Gracfe's number-  - 

Dilator,  lachrymal,  Weber's,  graduated  .do . . 

Forceps,  chalazion,  Ayer's do. . 

Forceps,  cilia,  plain do 

Forceps,  fixation,  Dudley's do. . . 

Forceps,  iris,  angular do... 

Force2)S,  trachoma,  Noycs's do. . . 

Forceps,  trachoma,  Prince's do. . . 

Keratovie,  angular,  Jaeger's do. . . 

Knife,  canaliculus,  half-curved,  Weber's, 
number 

Knives,  cataract,  Oraefe's,  B.  &  C. number. 

Lid  elevator.  Dcsmarre's co. . . 

Lid  holder,  hard  rubber,  Jaeger's do. . . 

Needle,  cataract,  iiarrow do. . . 


Needle  holder,  Stevens's number. 

Needle,  knife,  Knapp's do. . . 

Needles,  assorted,  full  curved do. . . 

Probes,  lachrymal.  Bowman's,  1,  in  «d.  .sets. 

Scalpel,  small numljer. 

Scissors,  enucleation,  full  curved do. . . 

Scissors,  iris do. . . 

Scissors,  tenotomy,  Stevens's do. . . 

Scoop,  Oraefe's,  hard  rubber do... 

Spatula  and  probe,  one  handle do... 

Speculum,  Noyes's do. . . 

Spud,  Dii's,  on  fired  handle do. . . 

Syringe,  lachrymal,  Ariel's,  all  metal,  xrilh  S 

tips number . 

Tenotomy  hook do. . . 

Test  drum.  Kith  cannepin  and  Beudruche 

skin number . 


(a)  Model  of  1917,  in  mahogany  case,  has  the  followmg  contents: 


Cata- 
logue 
No. 


Quan- 
tity. 


Curette,  chalazion,  Meyhoefer  's,  medium  size 561 

Cyslotome,  Oraefe's 562 

Forceps,  advancement,  Reese's '. 581 

Forceps,  chalazion,  Lambert's '.     582 

Forceps,  cilia,  plain 683 

Forceps,  entropium,  Desmarres's 584 

Forceps,  fixation,  with  catch 585 

Forceps,  iris,  angular,  mouse-toothed -. 586 

Forceps,  needle-holding,  Stevens's 589 

Forceps,  trachoma,  Moycs's,  1  up  and  1  down 687 

Forceps,  trachoma.  Prince's 588 

Oouge,  sharp  pointed,  V-shaped 663 

Hook,  iris,  sharp,  Tyrrell's 664 

Hooks,  tenotomy,  medium  size 575 

Irrigator,  anterior  chamber 603 

Keratomes,  angular,  Jaeger's,  medium  size 565 

Knife,  canaliculus.  Bowman's,  flexible  shank j    569 

Knives,  cataract,  Oraefe's^  assorted  sizes 567 

Knives,  scalpel  type,  medium  size 568 

Lens,  condensing,  2-inch,  broad  hard  rubber  ring j    595 

Lens  spoon,  metal,  Oraefe's I    573 

Leas  spoon,  metal,  Daviel's 574 

■  "  572 

596 
600 
601 
566 
570 
697 


Lens  spoon,  wire  loop. 

LH  plate,  Jaeger's,  hard  rubber 

Needles,  full  curved,  plain  eye,  cutting  edge,  assorted  sizes . 
Needles,  half  curved,  plain  eye,  cutting  edge,  assorted  sizes . 

Needles,  knife,  Knapp's,  medium  size 

Needles,  paracentesis 

Ophthalmoscope,  Loriag's 


Probes,  lachrymal,  Theobaldi's,  double-ended,  silver-plated,  16  sizes 


Repositor,  iris,  metal 

lietinoscope 

Retractors,  2  sizes 

Scissors,  enucleation,  full  curved,  light,  screw  lock . 

Scissors,  iris,  full  curved,  screw  lock 

Scissors,  iris,  probe  pointed,  angular,  screw  lock . . 

Scissors,  strabismus,  straight,  screw  lock 

Scissors,  tenotomy,  Steven's,  screw  lock 

Spatula  and  probe,  one  handU,  Knapp's 

Spatula,  double-ended,  Fisher's 

Speculum,  Ziegler's 


Sutures,  silk,  fine,  twisted,  iron-ej^d 

Sutures,  catgut,  assorted,  3  sizes  in  package 

Syringe,  lachrymal,  all  metal,  with  5  gold  needles. 
Testing  drum,  hard  rubber 


590 

571 
599 
692 
576 
577 
678 
679 
580 
693 
591 
694 


698 
602 


Number. 


2 
2 
2 
2 
1 
1 
1 
2 
1 
3 
2 
3 
3 
1 
1 
1 
1 
1 
12 
12 
3 
1 
1 
Sets. 
1 
Number. 
1 
1 
2 
1 
2 
1 
1 
2 
1 
1 
1 
Cards. 
3 

Packages. 
3 

Number. 
1 
1 


Note.— Catalogue  numbers  taken  from  "  List  of  Staple  Medical  and  Surgical  Supplies,  Coimcil  of  National 
Defense,  Washington,  D.  C,  May,  1917." 

(C.  M.  M.  D.,  No.  3.) 


MANUAL  FOR    MEDICAL  DEPARTMENT,   U.    S.   ARMY. 


309 


915. 


CASE,   FORCEPS,   HEMOSTATIC. 

(fra  canvas  roll.) 


Ililstead's  curved number. . 

Jialstead's  mosquito do 


Note. — In  the  older  issues  the  forceps  arc  contained  in  a  leather  case. 

(a)  Model  of  1917,  in  canvas  roll,  has  the  follo^ving  contents: 


Forceps,  straight,  5J  inches  long,  Kocher's,  screw  lock... 
Forceps,  straight,  flat  shank,  Kelly- Hopkins,  screw  lock . 

Forceps,  Jones's,  straight,  6-inch,  screw  lock 

Forceps,  Halstead's  Army,  5\-lnch^  screw  lock 


Quan- 
tity. 


NumheTt 
2 
2 
4 
4 


Note.— Catalogue  numbers  taken  from  "  List  of  St  aple  Medical  and  Surgical  Supplies,  Council  of  National 
Defense,  Washington,  D.  C,  May,  1917." 


(<7.  M.  M.  D.,  No.  3.) 


916. 


CASE,  GENEHAL  OPERATING. 


(In  canvas  roll,  with  two  metal  boies  as  containers.    Outline  of  instruments  stamped  on  canvas  and  names 

written  in  metal  box.) 


Bistoury,  curved,  probe  pointed number. . 

Bistoury,  curved,  sharp  pointed do 

Bistoury,  straight,  sharp  pointed do 

Bougie,  filiform do  — 

Box,  suture,  with  3  spools do 

Buttons,  Murphy's,  S  in  set sets. . 

Catlieter,  silver,  No.  18,  French  scale  .number. . 

Catlieter,  staff,  tunneled,  Gouley's do — 

Chisel dp — 

Clamps,  intestinal.  Murphy's do 

Director,  grooved,  medium do 

Drills,  bone,  inhandle,  setofS sets.. 

Earhook  and  spoon,  Gross's number . . 

Elevator  and  raspatory do 

Eye  spud,  Dix's do 

Forceps,    bone    cutting,    flat    blade,    Lis- 

ton's number . . 

Forceps,  ballet,  long,  Senn's do — 

Forceps,  clamp,  compression,  Kelly's . .  .do 

Forceps,  clamp,  compression,  Pean's... do 

Forceps,  clamp,  straight,  6-inch do 

Forceps,  delicate,  spring do 

Forceps,  dressing  andbullet,  Forwood's.. do 

Forceps,  dressing,  spring do — 

Forceps,  hemotatic,  curved,  Halstead's. do 

Forceps,  hemostatic,  Jones's,  S-inch  bite. .do 

Forceps,  hemostatic,  straight,  smalljaw  ■  .do 

Forceps,  mouse  tooth do  — 

Forceps,  rongeur,  and  bone  holding,    For- 
wood's  numbsr . . 

Forceps,  T-shaped,  Pratt's do 

Gag,  mouth do 

Gouge do — 

Guide,  filiform.,' Gouley' s do 

Knife,  amputating,  large,  7-inch  blade... do 

Knife,  cartilage- do 


Mallet,  Forwood's number. 

Needle,  aneurism do. . . 

Needle,  helical do. . . 

Needle  holder,  Truax's  or  Richtcr's do. . . 

Needles,  artery,  blunt,  right  aiid  left do. . . 

Needles,  case  for do. . . 

Needles,  curved,  assorted do . . . 

Needle,  open-eyed,  Robinson's do... 

Needles,  straight,  round do . . . 

Needles,  straight,  triangular do. . . 

Pins,  Wyeth's do. . . 

Probe,  aluminum do. . . 

Probe,  double,  8-inch,  silver do. . . 

Razor,  metal  handle do . . . 

Retractors,  double  ends,  nested do. . . 

Rongeur, De  Vilbiss's,  with  extra  blade,  .do. .  - 

Saw,  amputating,  '2  blades do. . . 

Saw,  metacarpal do — 

Saws,  wire,  set  of  3,  with  handles sets. 

Scalpels,  assorted number. 

Scissors,  angular do. . . 

Scissors,  curved  on  flat do . . . 

Scissors,  heavy,  blunt do — 

Scoop,  Ferguson's,  with  elevator do. . . 

Silkworm  gut coils. 

Specula,  ear,  silver  plated,  set  of  3 sets. 

Sutures,  horseliair,  100  strands  in  coil .  .coils . 

Sutures,  silk,  3  assorted  sizes  in  pack- 
age  : packages. 

Syringe, aspirating,  with  S  needles . . .number. 

Tongue  depressor,  wire,  folding do. . . 

Trephine,  De  Vilbiss's do. . . 

Trocar  and  canula,  silver,  set  of  4,  in  metal 
box sets.. 

Tube,  tracheotomy,  silver number. 

Wire,  silver,  Nos.  21  and  24 yards . 


NoTE.-In  the  older  issues  the  instruments  are  contained  in  a  mahogany  or  oak  case  with  leather  pouch 
and  strap,  and  a  case  of  slightly  different  pattern  is  Usted  under  par.  460,  M.  M.  D.,  1900. 


310 


MANUAL  FOE,  MEDICAL   DEPARTMENT,   U.    S.   ARMY. 


(a)  Model  of  1917,  in  canvas  roll  with  two  metal  boxes  as  con- 
tainers. Outline  of  instruments  stamped  on  canvas  and  names 
written  in  metal  box.     Has  the  following  contents: 


Cata- 
logue 
No. 


Quan- 
tity. 


Buttons,  Murphy's,  IntestirMl  anastomosis,  sizes  1,  3,  and  3  {of  each,  1) 

Catheter, brass,  nickeled.  Van Buren curve,  size  16,  French  scale.. 

Curette,  bone,  Whitino's,  size  4 

Director,  grooved,  6-inch 

Drills,  bone,  one  detachable  metal  handle  with  square  socket,  3  points 

Ear  hook  and  spoon.  Gross's 

Elevator,  periosteum,  Sayre's,  double-ended 

Eye  spud,  Dix's 

Forceps,  oone-cutting,flat  blade,  curved,  Liston's,  T^inch,  screw  lock 

Forceps,  hone-holding,  FaraboeuPs,  French  lock 

Forceps,  bone,  rongeur,  curved.  Bane's,  screw  lock 

Forceps,  hone,  rongeur,  Horsley's,  screw  lock,  Baltimore  pattern 

Forceps,  bullet,  Senn's,  8-inch,  screw  lock 

Fprccps,  dressing,  spring,  6^inch 

Forceps,  iressing,  spring,  IS-inch 

Forceps,  dressing,  straight,  10-inch,  with  catch,  Bozeman's,  screw  lock 

Forceps,  hemostatic,  straight,  Ilalstead's  (Army  pattern),  o^-inch,  screw  lock. 

Forceps,  hemostatic,  straight,  Jones's,  6-inch,  scrcio  lock 

Forceps, hemostatic,  straight,  Kocher's,  S^-inch,  screw  lock 

Forceps,  hemostatic,  straight,  Pean's,  81-inch,  screw  lock 

Forceps,  intestinal,  Doyen's,  straight,  9-inch,  screw  lock 

Forceps,  sequestrum,  screw  lock j 

Forceps,  tissue,  spring,  6k-inch 

Forceps,  tissue,  spring,  mouse  tooth,  B^inch 

dug,  mouth,  Denhart's 

Gouge,  bone,  square  handle,  10  mm 

Knife, amputating,  Catlin,  6^inch  blade 

Knife,  plaster,  wooden  handle,  riveted 

Knives,  minor  operating,  1^-inch  blade 

Knives, minor  operating,  2-inch  blade 

Mallet,  hardiDood,  with  metal  rings;  diameter  of  head,  1  ^  i  iich 

Needle,  aneurism. 

Needle,  aneurism,  Dechamps's,  blunt  point,  right 

Needle  holder,  Hcgar's,  7^inch,  screw  lock 

Needles, abdominal,  straight,  sizes  5  and  7  (of  each,  4) 

Needles,  abdominal,  taper  point,  half  circle,  sizes  4  and  6  (of  each,  3) 

Needles,intestinal,  taper  point,  half  circle,  sizes  2  and  4  (of  each,  3) 

Needles,intestinal,  taper  pointj  straight,  size  4 

Needles,  surgeon's,  regular,  plain  eye,  sizes  2,  6, 10,  and  14  (of  each,  2) 

Needles,  ease  for ". 

Osteotome,  square  handle,  size  12  mm 

Periostcotome,  blunt  dissector,  Kocher's 

Pins,  transfixion,  Wycth's,  12-inch 

Probe,  single,  with  eye,  plated,  5  inches  long 

Probe,  single,  with  eye,  plated,  8  inches  long 

Razor,  metal  handle,  medium  size 

Retractors,  Army  type,  2  sizes,  9  and  10  inch  (of  each,  1) 

Retractors,  flexible,  copper,  silver-plated,  IS  inches  long,  /j  inches  wide 

Retractors,  flexible,  copper,  silver-plated,  13  inches  long,  2  inches  wide 

Saw,  amputating,  Satcrlee's 

Saws,  Gigli's,  12,  20,  arid  SO  inch  (of  each,  2) 

Savjs,  Gigli  's,  handles  for 

Scissors,  bandage,  angular.  7'i-inch,  screw  lock 

Scissors,  dissecting,  Mayo's,  curved,  Scinch,  screw  lock 

Scissors,  heavy,  double  blunt,  6^inch,  screw  lock 

Scissors,  straight,  double  blunt,  S^-inch,  screw  lock ■ 

Sutures,  horsehair,  100  strands  in  coil 


Sutures,  silk,  3  assorted  sizes  in  package 

Syringe,  aspirating,  Dieulafoy's,  60  c.  c,  with  4  needles 

Tongue  depressor,  wire,  folding 

Trephine,  Gait's,  i-inch  crown,  of  tool  steel 

Trocar,  disc  cannln,  -j^c-inch 

Tubes,  trachea,  Jackson's,  full  curve,  German  silver,  silver-plated,  size  5. 


303 
215 

1.S.S 
158 
190 


IStJ 


173 
181 
X76 
175 
135 
130 
129 
128 
117 
116 
120 
122 
124 
177 
130 
131 
311 
184 
106 
107 
102 
103 
179 


154 
1.33 
143 
141 
148 
147 
142 


1S5 
187 
155 
156 
1.56 
309 

1.50.1 

150.1 

136 

138 

139 

115 

108 

110 

110 


170 

157.1 

540 


Number. 


Coils. 

Pack- 
ages. 

Number 


Note.— Catalogue  numbers  taken  from  "List  of  Staple  Medical  and  Surgical  Supplies„Council  of  National 
Defense,  Washington,  D.  C,  May,  1917."  Articles  not  showing  catalogue  number  are  the  same  pattern 
as  those  furnished  in  the  past  in  the  general  operating  case. 

(C.  M.  M.  D.,  No.  3.) 


MANUAL  FOR   MEDICAL   DEPARTMENT^   IT.    S.   ARMY. 


311 


917.  CASE,  GENITO -URINARY. 

{In  wooden  case,  or  canvas  roll  with  metal  box/or  more  delicate  instruments.) 


Bougies  (i  boule,  Otis's,  metal,  niclel-platcd, 
Nos.  8  to  SO,  inclusive,  Frenclt  scale, 
number 

Catheters  and  staffs,  grooved,  Gouley's,  with 
stylets,  assorted  sizes number. 

Catheter,  double  current,  silver do. . . 

Catheter,  syringe,  prostatic do. . . 

Dilator,  Thompson's,  modified  by  Gou- 
ley mimber . 

Director,  silver do. . . 

Forceps,  urethral',  Thompson's do.. . 

Gauge,  steel,  American  and  French do. . . 

Guides,  whalebone,  Gouley's do. . . 


Guides,  ^ohalebone,  Otis's .number. . 

Mcatotomes,  Otis's,  2  sizes do 

Sounds,  Otis's,  short-beaked,  steel,  nickel- 
plated,  Nos.  20  to  30,   inclusive,    French 

scale number. . 

Sounds,  tunneled,  Gouley's do 

Tenacul'Jbm,   Martin's do 

Urethrotome,  dilating,  Otis's,  straight,  with  S 

blades numbor . . 

Urethrotome,  Maisonneuve's,  No.  S,  French 
gauge,  with  2  blades,  2  filiform  bougies  and 
1  extra  tunneled  tip  for  whalebone  guide, 
number 


Note. — There  are  in  service  a  number  of  oases  of  older  models,  which  contain  33  instead  of  23  bougies  ^ 
boule,  21  instead  of  H  sounds,  and  3  endoscopes,  hard  rublser,  together  \rith  the  other  instruments  lisUid. 

(a)  Model  of  1917,  in  canvas  roll,  has  the  following  contents: 


Quan- 
tity. 


Bistoury,  straioht,  probe  pointed 

Bougies  6,  boule,  brass,  nickeled,  sizes  8, 10, 1^,  U  16, 18, 20, 22, 24, 26,  French  scale  {of  each,  1).. 

Catheter,  male,  double  current,  silver,  size  16,  French  scale 

Catheter,  grooved  and  tunneled,  with  stylet,  Gouley's,  size  14,  French  scale 

Catheter,  posterior,  urethral,  silver,  to  fit  standard  Luer  syringe 

Dilators,  Le  Fort's,  taper  point,  with  filiform  guide,  sizes  11,  13, 15,  IS,  22,  26,  French  scale 
(of  each,  1) 

Director,  silver,  Arnott's... 

Filiforms,  gum  linen,  withstandard  screw  fittings  for  Le  Fort  sound  or  Maisonneuve  urethro- 
tome and  catheter.. 

Filiforms,  whalebone,  straight,  thin,  delicate,  size  6,  French  scale 

Forceps,  urethral,  straight,  Fitha's,  screw  lock 

Forceps,  lithotomy,  curved.,  screw  lock,  Lewkowitz' 

Gorget,  litholorny,  Tcalc's 

Nozzle,  for  urethral  irrigator 

Sounds,  steel,  nickeled,  Otis  shortbeak,  sizes  18, 20, 22, 24, 36, 28,  30,  French  scale  (of  each,  1)... 

Sounds,  tunneled,  Gouley's,  sizes  8  and  14,  French  scale  (of  each,  1) 

Syringe,  Luer's,  standard,  all  glass,  10  c.  c 

Urethrotome,  Maisonnev,ve,  No.  8  F,two  blades,  anterior,  cutting;  edge,  with  fittings  for 
standard  filiform,  extra  tunneled  tip  for  whalebone  filiform 

Utricle  needle,  silver,  to  fit  standard  Luer  syringe 


Number. 
1 
10 
I 
1 
1 

6 
1 

6 
12 
1 
1 
I 
1 
7 


Note.— Catalogue  numbers  taken  from  "  List  of  Staple  Medical  and  Surgical  Supplies,  Council  of  National 
Defense,  Washington,  D.  C,  May,  1917." 

(a  M.  M.D.,No.3.) 


918. 


CASE,    GYNECOLOGICAL. 

(In  canvas  case.) 


Canvas  case,  as  instrument  holder.,  .number. . 

Curette,  double,  McLaiiren's do 

Curette,   Holbrook's  douche,  set  of  3,   with 

handle sets. . 

Depressor,  double  end,  Sims's number. . 

Dilator,  uterine,  Wathen's do 

Douche,  plain,  Leonard's do 

Forceps,  compression,  7\-inch,  1  straight  and 

1  curved,  Pean's number. . 

Forceps,  dressing,  Bozeman's do 

Forceps,  tenaculum,  Skene's do 

Forceps,  tissue,  right  angle do 

Forceps,  traction,  small,  Collins's. do 

Needles,  3  with  handle,  Peaslee's sets. . 

Packer,  gauze.  Cook's number. . 


Probe,  uterine,  Sims's number. 

Repositor,  uterine,  Elliott's do. . . 

Scissors,  curved  on  flat,  one  point  sharp,  S} 

inches,  Sim.s's number. 

Scissors,  hawkbill,  Skene's do. . . 

Scissors,  straight,  one  point  sharp,  8i  inches, 

Sims's number. 

Sound,  uterine,  Simpson 's -  -do. . . 

Specula,  Sims's,  medium  and  large do. . . 

Speculum,     urethral     and     cervical,     Bru- 

nage's number. 

Speculum,  vaginal,  trivalve,  Nott's do. . . 

Sponge  holder,  forceps,  Kelly's do. . . 

Sponge  holder,  Sims's do. . . 

Tenaculum,  Dudley's do. . . 


312 


MANUAL  FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY. 


919.  CASE,  INSTRUMENT,  FOR  MEDICAL  OFFICER'S  BELT. 

{In  khaki-colored  canvas  case.) 


Bisloury,  straight number. . 

Container,     metal,    for     scalpel     and     bis- 
toury   number. . 

Forceps,  artery  and  needle,  Abbey's do 

J^rccps,  hetnostatic,  Jones's do 

Forceps,  mouse-tooth,  Liston's do 

Needle,  aneurism  and  grooved  director  com- 
bined  number. . 


Needles,  surgical,  assorted number. . 

Scalpel do 

Scissors,  straight do 

Sutures,  catgut,  plain,  sterilized,  IS  inches 

each,  3  sizes  in  package packages. . 

Sutures,  silk,  braided,  sterilized,  IS  inches 

each,  3  sizes  in  package packages . . 


920  CASE,   MEDICINE,   FOR  MEDICAL   OFFICER'S   BELT. 

(.1  metal  case,  icith  clips  for  five  h.  r.  bottles  containing)  the  following  tablets.-) 


Acetphcn-'tidinum  (Phenaeetin') mgms. .       324 

Mistura  glvcyrrhizae  composita  (par.  C>02). 

Piiulae  catharticae  compositae 


Pulvis  ipecacuanahae  et  opii mgms. . 

Quininae  sulphas do — 


324 
200 


TjjoTE.— Any  medical  officer  may  make  such  substitutions  in  the  contents  of  his  o\\-n  case  as  he  may 
desire. 

921.  CASE,   MICROSCOPICAL   STJRPLIES,    SUPPLEMENTARY. 

{Hardwood  case  u.ith  lock  and  key:  weight  4~  pounds.) 


Acid,  acetic,  glacial,  in  T.  K.  dropping 
bittle oimces. . 

Acid,  hydrochloric,  c.  p.,  in  glass-stopper 
bottle ounces. . 

Aggliitometer{P.D.  &   Co.) number.. 

Alcohol,  absolute,  in  T.  K.  dropping  bot- 
tle   ounces. . 

Alcohol,  methyl,  Merck's  reagent,  in  glass- 
stopper  bottle ounces. . 

Beakers,  tall  form,  3  in  nest nests. . 

Bottles,  dropping,  1-ov.nce  T.  K number. . 

Clamp,  Stoddart do 

Covers,  glass.  No.  1,  square,  2  mm.  .ounces. . 

Eosin,  w.  g.,  dry,  Gruebler,  0.1-gm.  tablets, 
6  in  tube tubM. . 

File  triangidar,  small,  4  inches number. 

Fuchsin,  Gruebler,  0.1-gm.  tablets,  6  in 
tube tubes. 

Fumiels,  glass,  l-ounce number. 

Gentian  violet,  Gruebler,  0.1-gm.  tablets,  6 
in  tube tubes. 

Gowcr's  solution,  l-ouuce bottles. 

Graduate,  conical,  30  c.  c number. . 

HemocytometcT,  Zappert  Euing,  tvith  pi- 
pettes  number. . 

Hemoglobinometer,  Tallquist do 

lodincand  potassium  iodide  mixture,  tubes 


Methylene  blue,  Gruebler,  0.1-gm.  tablets, 
6  in  tube tubes . . 

Normal  saline  solution  tablets,  in  S-ounce 
screw-top  bottle bottles. . 

Oil,  analine,  in  glass-stopper  bottle. .  .ounces.. 

Paper,  filtering,  10  by  10  cm.,  50  sheets  in 
package ." packages . . 

Paper,  litmus,  red  and  blue vials.. 

Paraffin,  in  seamless  tin  box ounces. . 

Petrolatum,  in  seamless  tin  box do — 

Phenol,  in  gliss-stopper  bottle do — 

Pipettes,  1  c.  c,  graduated  in  hundredths, 
in  aluminum  case number . . 

Slides,  glass,  3  by  1  inch gross . 

Slides,  glass,  3  by  1  inch,  vrith.  one  concav- 
ity   number. 

Syringe,  glass,  Luer  type,  10  c.  c,  uith  2 
needles,  in  metal  case number. 

Test  tubes,  5  in  n-st nests. 

Tubing,  glass,  large  and  small,  in  aluminum 
case pieces. 

Tubing,  rubber,  -f^  inch,  in  metal  box.  .feet. 

Urinometer,  small number. 

Watch  glasses,  Syracuse,  ground  edge. do. . . 

Wright's  stam,  0.05-gm.  tablets,  6  in 
tube lubes. 


Note.— This  case  is  supplementary  to  the  microscope,  field,  with  accessory  ease  (par.  950). 

922.  CASE,   OPERATINa,    SMALL. 

{In  canvas  roll  or  wooden  case.) 


Bistoury,  curved,  probe-pointed number.. 

Bistoury,  straight,  sharp-pointed do — 

Catheter,  male,  plated do — 

Chisd do ... . 

Director,  grooved,  with  myrtle  leaf do — 

Elevator  and  scoop do — 

Forceps,  bone,   corrugated  handles,   scooped 

out number. 

Forceps,  bullet  and  dressing,  combined,  For- 

wood's number. 

Forceps,  dissecting,  mouse-tooth do. . . 

Forceps  hemostatic do. . . 


Knife,  amputating number. 

Needle,  aneurism do. . . 

Needle  holder do. . . 

Needles,  surgical,  assorted doxen . 

Probe,  double,  silver number. 

Saw,  amputating do. . . 

Scalpek <io-  ■  ■ 

Scissors, curved  onflat,n-ith  CoUin.s's  lockdo. . . 

Scissors,  straight,  with  CoUins's  lock do. . . 

Sutures,  silk,  3  sizes  in  package packages. 

Sutures,  silkworm  gut eoils. 


15 

1 
1 

4 
2 
1 
1 
1 

6 
2 

24 

1 


MANUAL    FOR   MEDICAL   DEPARTMENT,    U.    S.    ARMY.  313 

(a)  Model  of  1917,  in  canvas  roll,  has  the  following  contents: 


Bistoury,  straight,  probe  pointed 

Catheter,  male,  brass,  nickeled.  Van  Buren  curve,  size  16,  French  scale 

Chisel,  bone,  square  handle,  12  mm 

Director,  grooved,  G-inch \[ 

Elevator,  periosteum,  Saijre's,  double-ended ' . 

Forceps,  bone,  rongeur.  Bane's,  screw  lock 

Forceps,  bone-cutting,  straight,  Liston's,  71-inch,  scretv  lock '.'. 

Forceps,  dressing,  Bozeman's,  straight,  lO^inch,  with  catch,  screw  lock 

Forceps,  hemostatic,  Jones's,  straight,  6-inch,  screw  lock 

Forceps,  tissue,  spring,  mouse  tooth,  oh-inch \, 

Knife,  amputating,  6-inch  blade ". 

Knife,  minor  operating,  2-inch  blade 

Knives,  minor  operating,  1^-inch  blade 

Needle,  aneurism 

Needles,  surgical,  assorted  sizes,  catalogue  numbers  141, 142, 143, 145, 147, 148  (of  each,  4). 

Needle  holder,  Richter's,  7-inch,  scietc  lock 

Probe,  0-inch,  plated,  straight,  with  eijc 

Probe,  8-inch,  plated,  straight,  with  eye 

Saw,  amputating,  Saterlee's 

Scissors,  bandage ,  7^inch,  screw  lock 

Scissors,  dissecting,  Mayo's,  curved,  5\-inch,  screw  lock 

Scissors,  straight,  one  point  sharp,  Bl-inch,  screw  lock 


Sutures,  silk,  assorted,  3  sizes  in  package . 
Sutures,  silkworm  gut,  100  in  coil 


Cata- 
logue 
No. 


lOi 
215 
183 
158 
186 
176 
174 
128 
116 
131 
105 
103 
102 


132 
156 
156 
13G 
115 
108 
111 


Quan- 
tity. 


Number. 
1 
1 
1 
1 
1 
1 
1 
1 
6 
2 
1 
1 
3 
.  1 
24 
1 
1 
1 
1 
1 
1 
1 
Pack- 
ages. 
1 
Coils. 
1 


Note.— Catalogue  numbers  taken  from  "  List  of  Staple  Medical  and  Surgical  Supplies,  Council  of  National 
Defense,  Washington,  D.  C,  May,  1917." 

(C.  M.  M.  D.,  No.  3.) 

923.  CASE,   POCKET. 

{In  canvas  roll,  with  metal  holder  for  knives,  etc.) 


Bistoury,  curved,  sharp  pointed number. . 

Bistoury,  straight do 

Catheter,  plated,  male  and  female  tips. .  .do 

Caustic '  holder  and  exploring  needle   com- 
bined   numlfer . . 

Director,  grooved,  with  myrtle  leaf do 

Forceps,  dissecting,  mouse-tooth do 

Forceps,  hemostatic,  and  needle do 

Forceps,  hemostatic,  long do 


Forceps,  hemostatic,  short number 

Needle,  aneurism do. . 

Needles,  surgical,  assorted do. . 

Probe,  double,  with  silver  tips do. . 

Scalpels do.. 

Scissors,  straight do. . 

Sutures,  silk,  braided,  sterilized,  3  sizes  in 
package packages. . 


Note. — In  the  older  cases  of  tliis  type,  the  instruments  are  contained  iu  a  leather  case,  xvith  buckskin  cover. 
924.  CASE,   POST-MORTEM. 

(/re  canvas  case,  with  metal  box  for  knives,  etc.    Outline  of  instruments  stamped  on  the  canvas  and  names  of 
contained  instruments  in  metal  box.) 


Blowpipe number.. 

Chain  and  hooks do 

Costotome  chisel do 

Enterotome do 

Forceps,  dissecting do 

Hammer,  steel do 

Knife,  amputating,  large do 


Knife,  amputating,  small number 

Knife,  cartilage do. . 

Needles do. . 

Saw do.. 

Scalpels,  assorted do. . 

Scissors,  slraiglit do. . 

Tenaculum do. . 


Note. — In  the  older  ca.scs  the  above  articles  are  contained  in  a  ivooden  case. 

925.  Rescinded.     {C.  M.  M.  D.,  No.  3.) 


314  MANUAL   FOR   MEDICAL  DEPARTMENT^   U.    S.   ARMY. 

926.  CASE,   TRIAL  LEiSrSES. 

(/;t  mahogany  or  oak  case.) 


numljer . . 

Oue  plain  metal. 

Two  metal  -..'ith  stenopaic  aperture. 

Two  metal  with  sleiiopaic  slit. 

One  with  Miiddox  rod. 

One  v.'ith  ha!f-frosted  disk. 

Two  blue  glass,  dark  and  light. 

One  red  glass. 

Three  smoked  glasses,  difEcrent  shades. 

One  plain  glass.. 

Oeneva  lens  measure number. . 

Lenses,  cylindrical,  concave i^airs. . 


Lenses,  cylindrical,  convex pairs. . 

Lenses,  spherical,  concave do 

Lenses,  spherical,  convex do 

Mirror, plain,  retinoscopic,  l^-inck. .numlier. . 
Prisms '. do 

One  pair  each  of  1,  2. 3,  4. 

One-half  pair  each  ol5,  6,  S,  10, 12, 15  20. 
Tape  measure,  small,  spring,  I  ■mffer. number. 

Trialframe,  graduated  douole  cell do 

Trial  frame,  gradu-ated,  triple  cell,  outer  cell 
rotating, adjustable  frame  and  hooks  number. . 


Note. — The  spherical  and  cylindrical  lenses  are  marked  in  both  English  and  dioptric  systems  on  the 
case  and  in  the  dioptric  system  on  the  lenses. 


927. 


CHEST,   ACETYLENE. 

{Brass-hound  chest,  tcith  hasp  and  button,  weight  J,l  pounds.) 


Packed  in  corners  of  chest: 

Canisters,  three-cornered,  for  calcium  carbide, 

numljer 1 

Coiled  on  top  of  generator: 

Tube,  distributing, rubl)er,  |-ineh feet. . 

Packed  inside  acetylene  generator: 

Bucket,  water,  vrith  bail number. . 

Burner  tips,  acetyleno^^  extra,  i-foot. .  .do 

Can,  metal,  with  lid,  for  holding  extra  parts, 
numlxir 

Carbide  magazine,  automatic-feed,  screwed  in- 
side gas  belt number. . 

Clamps  ,tentpolc  jtosupportdistributing  pipe , 
number 

Diaphragm,  rubber,  extra number. . 

Driver  and  filter,  acetylene  gas do 

Drop  pipe,  screiv,  metal,  for  operating  cluster 
fixture number. . 

Felt,  extra,  for  drier  and  filter pieces . . 


Fixture  and  burner,  ward,  L-s/imped. number. 
Fixture  and  cluster  of  4  burners,  operating 

light number. 

Funnel,  metal,  for  charging  carbide  feed  maga- 
zine   number. 

Gas  bell do. . . 

Heat   deflector,  for   operating   light  fixture, 

number 

Pincers,  gas  fitter's number. 

Pipe    distributing,  metai,  S-way,  with  stop- 
cock and  tube  clips numbcr. 

Pipes,  distributing ,  metal,  2-toay,  with  tube 

clips number. 

Reflector,  metal do 

Re  flecfor , support,  with  tubeclip do 

Screwdriver do 

Washers,  extra do 

Water  container ,  outside,  with  clips do 

Whitelead,  in  compressible  tube tubes. 


ACETYLENE  LIGHTIISra   AKD   HEATING   UNIT. 

{In  woodenbox  with  hinged  lid.    Prcst-0-Lite  cylinder  in  separate  box  or  crate.) 


Lighting  unit: 

Biirnertips ,  extra number. 

Cylinders ,  Prest-0-Lite ,  70  cubic  feet do'. . . 

Case ,  fiber  .for  fixtures  and  tools do. .. 

Fixture  with  one  \-footburni  r do. . . 

Fixture  loithfoufk-foot  burners,  with  reflector  and  chairi do. . . 

Gaskets, lead .' do. . . 

Pliers do. . . 

Straps,  webbing,  for  attachment  of  tubing  to  tent  poles do. . . 

Tubing,  noncoilapsiblc ,  two  S5-foot  lengths,  with  connections 1 .  .feet. 

Valve,  pressure-reducing number. 

Valve  key do. . . 

"White  lead,  in  compressible  tube i tube. 

Wrench,  open  end,  and  valve number. 

Heating  attachment: 

Connection,  2-way  (packed  with  lighting  unit) number. 

Hot  plate  {i-unit) do. . . 

Tubing,  noncollapsible, 8-foot  piece,  with  connections pieces. 


Note  r.—Thelight  and  heat  unit  is  simple  in  construction,  and  instructions  for  operating  are  fur- 
nished with  each  outfit. 

Note  2.— When  a  Prest-0-Lite  cylinder  is  exhausted  it  should  be  sent  immediately  to  the  proper  depot 
or  supplystation  for  exchange. 

Note  3.— Care  should  bo  taken  in  packing  the  fixtures  to  insnre  against  damage  in  transportation. 

Note  4.— When  a  full  flow  ol  ga.-^  is  not  rciiuirod  for  heating  or  lighting,  the  valves  should  bo  closed 
enough  to  provide  only  tlie  minimum  quantity  needed. 


{C.  M.  M.  D.,  No.  3.) 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 


315 


928.  CHEST,    COMMODE. 

{Iroir-bound  wooden  chest,  with  hinged  top,  removable  bottom,  and  hasp  and  button,  weight  6Spounds.) 


Bedpan,  white  enamel number. . 

Chamber  pot,  while  enamel do  — 

Pappt,  toilet packages. . 


Spit  cup,  ichite  enamel number. . 

Urinal,  white  enamel do 


929. 


CHEST,   COOBnCNO   UTENSILS. 

{Iron-bound  chest,  weight  1S4  pounds.) 


Batter  whip  and  mixer number. 

Bisci'it  cutter,  rotary do. . . 

Bread  board do. . . 

Caketurner " do. . . 

Can  openers do. . . 

Cleaver,  butcher's do. . . 

Clothesline feet. 

Cookbook  ,Army number. 

Corkscrew  and  opener do. . . 

Dipper do — 

Dishes,  vegetable  and  pudding do. . . 

Egg  whisk do... 

Emergency  diet  for  the  sick,  Munson — do. . . 

Forks,  flesh do. . . 

Knife  and  saw,  combination do. . . 

Knife,  butcher's do. . . 

Ladle,  soup do... 

Lantern do. . . 


Masher,  potato number. 

Match  box do . . . 

Nai I  box,  filled 1  .do . . . 

Nutmeg  grater do... 

Platters  J  meat do . . . 

Pot  chain  a:nd  scraper do . . . 

Sickle do. . . 

Soapbox...: do... 

Spice  box,  with  6  cans do... 

Spoons,  serving do... 

Squeezer,  lemon do... 

Steel,  butcher's do. . . 

Tea  steeper .- do. . . 

Tea  strainer do.. . 

Towels,  dish do. . . 

Trays,  serving do... 

Wire ,  annealed coils . 

Wire  cutter  and  pliers number. 


930. 


CHEST,   FIELO   LABORATORY,   NO.    1. 

(  Weight,  90  pounds.) 


Baskets,  wire,' for  test  tubes number. 

Bath,  water,  copper do... 

Bucket,  copper,  for  media do. . . 

Burners,  Bunsen. do. . . 

Burners,  Bunsen,  chimney  support  for. do... 
Case,  for  pipettes,  etc do... 

fipettes,  1  c.  c do... 

Pipettes,  10  c.  c do. . . 

Rods,  glass,  large  and  small do . . . 

Thermometer,  laboratory do. . . 

Cotton,  absorbent,  in  rolls poimds. 


Dishes,  Petri number. 

Paper,  filtering,  Munktell,  No.  1,  20  sheets 

in  package paclcages. 

Plate  holders,  copper number. 

Retorts,  stand  for,  2-ring do. . . 

Sterilizer,  Arnold do. .. 

Test  tubes,  9  mm.  by  6  cm do... 

Test  tubes,  15  mm.  by  15  cm do... 

Totvels,  hand do. . . 

Tubing,  rubber feet. 


24 

1 

2 
1 
1 

75 

22S 

12 

12 


931. 


CHEST,   FIELD   LABORATORY,   NO.   2. 

( Weight,  87  pounds.) 


Agar-agar,  powdered,  in  3-ouni>e  tin tins. . 

Beef  extract,  in  commercial  tins ounces. . 

Book,  record number. . 

Bottles,  automatic  stopper do. ... . 

Bottles,  glass  stopper,  4-ounce,  for  the  fol- 
lowing: 

Acid,  nitric,  10  per  cent number 

Acid,  sulphanilic,  1  per  cent do. . 

Add,  sulpliuric,  concentrated do. . 

Diphenylamine,  0.2  per  cent do. . 

Naphtylamine,  1  percent do.. 

Silvernitrate,saturatedsolution..-do.. 

Sodium  chloride  solution do . . 

Box,  for  matches do. . 

Box,  soap do.. 

Brushes,  test  tube do. . 

Cards,  record do. . 

Cases,  tin,forreagentbottlcs do.. 

Colony  counter do. . 

Dextrose,  in  3-ounce  tin tins 

Funnels,  agate  ware,  assorted number 

Funnel,  glass,  500  c.  c,  fluted do. . 

Puunel,  glass,  6.5  em do.. 

Gaaometer ; do. . 

Graduate,  glass,  250  c.  c do.. 


1 
1 
1 
1 
1 
1 
2 
1 
1 
2 
200 
8 
1 
4 
2 
1 
1 
1 
1 


Jars,  Nessler,  50  c.  c number. 

Lactose,  in  12-ounce  tin tins. 

Matches,  safety boxes. 

Normal  saline  solution  tablets,  in  3-oi.mce 

tin tins. 

Paper,  filtering,  Munktell,  4-ineh.  .packages. 

Paper,  litmus,  blue  and  red vials. 

Pencils,  lead number. 

Pencils,  wax do. .. 

Peptone,  dry,  in  3-ounce-tin tins. 

Racks,  zinc,)' or  test  tubes,  6  inset sets. 

Scales  and  weights,  metric number. 

Scissors do. . . 

Soap,  Ivory cakes. 

Soda,  wasmng,  in  12-ounce  tin tins. 

Sodium  taurochlorate,in  12-ounce  tin. do. . . 

Stoves,  alcohol number. 

Stoves,  alcohol,  extra  wicks  for do. . . 

Tags,  cardboard do. . . 

Tanksf  or  alcohol  and  mineral  oil do... 

Tins,  as  containers do. . . 

Tripod,  iron,  Bunsen do... 

Tubes,  rubber,  6-inch do. . . 

Tubes,  rubber,  stopcocks  for do. . . 

Water  A  nalysis,  Darnall do. . . 


316  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

932.  CHEST,   MEDICAL  AND    SURGICAL. 

(  Weight,  100  pounds.) 
MEDICINES  AND  ANTISEPTICS. 


Adrenalin  chlorid,  l-mgra.  tab'.ets,  20  in 
tube tubes. . 

Alcohol,  12-oun"es  in  bottle battles. . 

Apomorpliinac  hydjophloridum,  6-nigm.  hy- 
podermic tablets,  20  in  tube tubes. . 

Atropiiiae  sulphas,  O.Go-mgm.  hjT)odermic 
tablets,  20  in  tube tubes. . 

Bismuthi  subnitras,  324-mgm.  tablets,  700 
in  12-oun^e  tin tins. . 

Chloroformum,  ^  pound  in  tin do 

Cocainao  hvdrocMorldum,  10-mgm.  hypo- 
derniic  tablets,  20  in  tube tubes. . 

Digitalinum,  1-mgm.  hypodermic  tab'ets, 
20  in  tube tubes. . 

Emetinae  hvdrochloiidum,  22-mgm.  hypo- 
dermic tablets,  20  in  tube tubes. . 

Foot  pov.-der  (par.  902) tins. . 

Hydrargyrl  chloridum  corrosivum,  tablets 
(antise'ptic)  (par.  902),  350  in  12-oimce 
tin tins.. 

Hvdrargvri  chloridum  mite,  32-mgm.  tab- 
lets, 1,000 in  botf.e bottles.. 

Hyoseinao  hydrobromidum,  0.65-mgm.  hy- 
podermic tablets,  20  in  tube tubes. . 

lodum-p  itassti  iodidum do 

Linimentum  rubefariens,  tablets  (par.  902), 
200  in  12-ounee  tin tins. . 

Magnesii  sulphas,  3  poiuids  in  tin do — 

Mistura  glycyrrtiizae  composita,  3,600  in  12- 
ounce  tin. ." tins. 


Morphinae  sulphas,  8-mgm.  hj-podermic 
tab.ets,  20  in  tube tubes . . 

Nitroglycerin,  0.65  mgm.  hypodermic  tab- 
lets, 20  in  tube tubes. . 

Petrolatum,  in  12-ounce  tin tins.. 

Phenol,  crystals,  i-  pound  in  bottle,  .bottles. . 

Pilulae  cainphorae  et  opii  (par.  902),  875  in 
12-oimce  tin - tins. 

Pilulae  catharticae  compositae,  1,200  in  12- 
ounce  tin tins. 

Potassii  bromldum,  324-mgm.  tablets,  500 
in  bottle bottles.. 

Protargol  (or  equivalent),  1  ounce  in  bot- 
tle  bottles. 

Quininae  hvdrochlorosulphas,  32-mgm.  hy- 
podermictablets,  20  in  tube tubes. 

Quininae  sulphas,  200-mgm.  tab'.ets,  1,000 
in  12-ounce  tin tins. 

Sodii  salicylas,  324-mgm.  tablets,  600  in  12- 
ounce  tin tins . 

Strychninae  sulphas,  1-mgm.  hj-podermi3 
tablets,  20  in  tube tubes. 

Thymohs  iodidum  (Aristol),  in  sprinkler, 
number 

Unguentum  hydrargyri  chloridi  mitis,  30 

Eer  cent,  J  pound  in  wide-mouth  bottle, 
ottles 


The  tubes  of  hypodermic  tablets  are  all  in  one  12-ounce  tin. 

MISCELLANEOUS. 


Aprons,  rubber number. . 

Bag,  rubber,  hot-ioater,  and  siiringc do 

Bandages,  gauze,  comDressed,  3  sizes,  .do 

Bandages,  plaster  of"  Paris,  in  indi\ddual 

packets number. . 

Bandage,  rubber,  Martin do 

Bands,  elastic, in  pouch do 

Basiiis.  hand,  rubber do 

Book,  Dlaak,  8vo do 

Book,  vote,  manifolding,  4by  6  inches,  binder, 

number 

Boo'f,  note,  manifolding,  4  by  6  inches, 

filler number. . 

Bo  ces,  folding,  for  tablets gross . . 

Bo  ces,  ointment,  3  in  nest nests. . 

Boi,  so2p,  victal number. . 

Brushes,  hand,  fiber do 

Case,  forceps,  hemostatic  (par.  915) do 

Case,  operating,  small  (par.  922) do 

Case,  tooth-extracting,  S  forceps  in  canvas  roll, 

number 

Catheters,  flexible,  17,  SO,  24,  French  scale,  in 

tin number. . 

Corks,  for  1-ounee  vials,  50  in  bag bags. . 

Cork-icrew number. . 

Cotton,  absorbent,  sterilized,  1-ounce  pack- 
age  packages. . 

Cup,  enamel  ware number. . 

Gauze,  sublimated,  2  half-vard  lengths  in 

package .packages. 

Otoves,  rubber,  in  pouch,  sizes  8  ana  9.  .pairs. , 
Inhaler,  chloroform,  Esmarch,  with  drop  bot- 
tle     number. . 

Labels,  for  vials do^en. . 

Labels,  poison do — 


Matches,  safety boxes. . 

Medicine  glass,  in  wooden  case number. . 

Mortar  and  pestle,  porcelain.  7  cm do 

Pencils,  hair,  1  dozen  in  \ial vials.. 

Pencils,  indelible number. . 

Pins,  common papers.. 

Pins,  safety dozen. . 

Plaster,  adhesive,  z.  c,  5  yards  by  1  inch, 

spools 

Pouch,  for  gloves number. . 

Razor do 

Razor,  strop  for do 

Scissors do 

Soap,  hand cakes. . 

Spatula,  S-inch number. . 

Spoon,  tea do 

Sutures,  catgut,  chromicized,  sterilized,  18 

inches  each,  3  sizes  in  package. .  .packages. . 

Sutures,  catgut,  plain,  sterilized,  IS  inches 

each, .3  sizes  in  package packages. . 

Sutures,  silk,  braided,  steriUzcd,  18  inches 

each,  3  sizes  in  package packages. 

Sutures,  silkworm  gut,  100  in  coil coils. 

Syringe,  hypodermic  (par.  956) number. 

Syringe,    nypodermic,   extra   needles   for, 

"number 

Tajs,  diagnosis books. . 

Thermometers,  clinical numjaer. . 

Tins,  enameled,  as  containers do. . . 

Tongue  depresxor do. . . 

Tourniquet  arid  bandage,  rubber do... 

Ttm'cls,  hand do. . . 

Tubes,  drainage,  2  sizes,  in  tin  with  cathe 

ters pieces. 

Vials,  1-ounce number. 


(C.  M.  M.  D.  No.  3.) 


933. 


MANUAL  FOR   MEDICAL  DEPARTMENT/ U.    S.   ARMY.  317 

CHEST,   MEDICAL  AND    SURGICAL.,   SUPPLEMENTARY. 

(  Weight  95  pounds.) 
MEDICINES  AND  ANTISEPTICS. 


Acidum  borieum,  324-msnn.  tablets,  700  in 

12-ouncc  tin tins. . 

Acidum  salic slicum,  324-mgm.  tablets,  400 

in  12-ounce  tin tins. . 

Amylis  nitris,  5-drop  spirets,  12  in  box, 

boxes 

Argenti  nitras,  crystals,  1  ounce  in  bottle, 

bottles 

Argenti  nitras  fusas,  1   ounce  in  bottle, 

bottles 

Argyrol,  1  ounce bottles.. 

Arsenii  trioxidum,  l-mgm.  tablets,  500  in 

3-ounce  tin tins. . 

Aspirin,  324-mgin.  tablets,  500  in  bot- 
tle  bottles. . 

Cafleina  citrata,  65-mgm.   tablets,   250  in 

bottle bottles . . 

Capsicum,  32-mgm.  tablets,  600  in  3-ounee 

tin tins . . 

Chloralum    hydratum,    324-mgm.    tablets, 

400  in  bottle bottles. 

Chloroformum,  -J  pound  in  tin tins. 

Codeina,  32-mgm.  tablets,  600  in  3-ounce 

tin tins.. 

Collodium,  1  ounce bottles. 

Emplastrum   belladonnae,   2   yards  by   6 

inches,  in  tin tins. 

Emplastrum  cantharidis,  1  yard  by  6  inches, 

in  tin tins. 

Glycerinum,  *  pint  in  bottle bottles. 

He-xamethvlenamina  (Urotropin),  324-mgm. 

tablets,  600  in  12-ounce  tin tins . 

Hydrargyri  iodidum  na\nim,  10-mgm.  tab- 
lets, 750  in  3-oiuice  tin .tins. 

lehthvolum,  3  ounces bottles. 

Morphinae  sulphas,  8-mgm.  tablets,  600  in 

3-ounce  tin tins. 

Normal  saline  solution  tablets  (par.  902),  150 

in  12-ounce  tin tins. 

Oleumricini,  3  pints  in  tin do... 

Oleum  terebinthinae  rectificatum,  3  pints 

in  tin tins. 


12 


Oleum  thcobromatis,  J  pound  in  12-ounce 

tin .  .^ tins. . 

Phcnvlis  salicylas  (Salol),  324-mgm.  tablets, 

500  in  bottle bottles. . 

Pilulae  aloini  compositae  (par.  902),  750  in 

3-ounce  tin tins. . 

Pilulae  ferri  compositae  (par.  902),  1,200  in 

12-ounce  tin tins. . 

Plumbi  acetas,  130-mgm.  tablets,  600  in  3- 

ounce  tin tins. . 

Potassii  chloras,  324-mgm.  tablets,  1,21X)  in 

12-ounce  tin tins. . 

Potassii  iodidum,  324-mgm.  tablets,  500  in 

bottle bottles. . 

Potassii    pcrmanganas,  324-mgm.   tablets, 

1,200  in  12-ounce  tin tins. . 

Pul\is  ipecacuanhae  et  opii,  324-mgm.  tab- 
lets, 700  in  12-ounce  tin tins. . 

Sodii  bicarbonas,  324-mgm.  tablets,  1,000  in 

12-ounce  tin tins. . 

Sodii  bicarbonas  et  mentha  piperita,  tablets 

(par.  902),  1,000  in  12-ounce  tin tins.. 

Sodii  carbonas  monohydratus,  for  surgical 

use,  h  pound  in  12-ouhce  tin tins. . 

Spiritiis  ainmoniae  aromaticus,  h  pound  in 

glass-stopper  bottle bottles. . 

Spiritus  frumonti,  i  pint  in  bottle do 

Sulphur    lotum,    i    pound    in    12-ounce 

tin tins. . 

Tinctura  digitaUs,  0.3  c.  c.  tablets,  800  in  3- 

oimce  tin tins. . 

Tinctura  opii,  4  pound  in  bottle bottles. . 

Trochisci  aminonii  chloridi,  350  in  12-ounce 

tin tins.. 

Unguentum  hydrargvri,  *  pound  in  wide- 
mouth  bottle " bottles. . 

Veronal,  324-mgm.  tablets,  100  in  3-ounce 

tin,  or  equivalent -  .tins. . 

Zinci  oxidum,  powder,  *  pound  in  12-ounce 

tin tins. , 

Zinci  sulphas,  324-mgm.  tablets,  250  in  3- 

oimco  tin tms. 


MISCELLANEOUS. 


.4  tomizer,  hand number . . 

B(jg^  rubber,  hot-ioalcr,  and  syringe do 

Banda';es,  suspensory dozen. . 

Bouijics,  flexible,  Nos.  11,  IS,  15,  17,  20   22, 

h reneh  scale,  in  tin  ivith  catheters,  .number. . 
Catheters,  flexible,  Nos.  15,  17,  18,  20,  23,  2i, 

French  scale,  in  tin  with  6oa^ies.  .number. . 

Corks,  for  vials,  50  in  bag bags . . 

Corkscrew number. . 

Cups,  enamel  ware do 

Eye  shades,  single do 

Graduate  glass,  100  c.  c,  in  case do 

Hand  mirror  in  case do 

Medicine  droppers do 

Needles,  common,  assorted papers. . 

Paper,  litmus,  blue  and  red,  100  strips  in  vial, 

of  each vials. . 


Pill  tile,  h.T number. , 

Specula,  ear,  set  of  3 sets.. 

Speculum,  rectal number. . 

Splints  ,wire  gauze  for,  1  yard  in  roll. .  .rolls. . 

Stethoscope,  double number. . 

S\Tinges,  penis,  glass do — 

Syringe,  rectal,  hard  rubber,  6-ounce do — 

Tags,  diagnosis books. . 

Tape  measure.  60-inch number. , 

Test  tubes,  3  m  nest nests . 

Tliread,  cotton spools. 

Tins,  enameled,  as  containers number. 

Tubes,  drainage,  unperforated,  in  tin  with 

catheters pioocs. 

Tube,  stomach number. 

Vials,  1-ounce dozen. 


(C.  M.  M.  D.,  No.  3.) 


318 
934. 


MANUAL  FOR   MEDICAL  DEPARTMENT'^   XJ.    S.   ARMY. 

CHEST,   MESS. 
To  serve  23  persons. 

{Iron-bound  wooden  chest ,  weight  225  pounds.) 


Batter  whip  and  mixer number. 

Biscuit  cutter,  rotary do. . . 

Bovh,  enamel  wate  or  aluminum do. . . 

B  read  hoard ao . . . 

Cake  turner do. . . 

Can  opener do. . . 

Chopper,  meat  and  vegetables do. . . 

ClcactT, butcher's do... 

Clothesline feet. . 

Cookbook,  Army numl^er. 

Coikscrerv  and  opener do. . . 

Dipper do. . . 

Dishes,  vegetable,  enamel  ware do. . . 

Egg  vjfiisk do. . . 

Emergency  Diet  for  the  Sick,  Munson . . do. . . 

Forks,  flesh do. . . 

Forks,  steel,  triple*plated do. . . 

Knife  and  saw,  combination do. . . 

Knife,  butcher's do. . . 

Knives,  steel,  triple-plated do. . . 

Ladle,  soup do. . . 

Lantern do . . . 

Masher,  potato do. . . 


50 


Match  safe niunber. 

Kail  hot,  filled do. . . 

Nutmeg  greater,  patent do. . . 

Pitcher,  large,  enamel  ware do... 

Pitcher,  small,  enamel  ware do. . . 

Plates,  enamel  ware  <yr  aluminum do. . . 

Platters  J  meat do. . . 

Pot  cham  and  scraper do. . . 

Saucers,  deep,  enamel  war»  or  aluminum, 

number 

Shakers,  glass,  salt  and  pepper,  of  each.  .do. . . 

Soap  box do. . . 

Spice  box,  with  6  cans do... 

Spoons,  serving do. . . 

Spoons,  steel,  triple-plated do. . . 

Squeezer,  lemon do. . . 

Steel,  butcher's do. . . 

Tea  steeper do. . . 

Tea  strainer do. . . 

Towels,  dish do... 

Trays,  serving do. . . 

Wire,  annealed coils. 

Wire  cutter  and  pliers number . 


1 
1 
1 
1 
1 
29 
4 
1 

29 
4 
1 
1 
4 

25 
1 
1 
1 
1 
S 
4 
1 
1 


935. 


CHEST,    STBRIIilZER. 

(  Weight  82  pounds.) 


Aprons,  rubber number. 

Bands,  rubber do. . . 

i?a.s!»5,  rubber do. . . 

Box,  soap,  metal do. . . 

Briishes,  hand,  fiber '...  -do. . . 

Corks,  extra,  for  8-ounce bottles do... 

Funnel,  agateware do. . . 

Oloves,  rubber,  sizes  8  and  0 pairs. 

Matches,  safety '. boxes. 

Phenol,  I  pound,  in  bottle bottles. 

Pouches,'for  gloves .number. 


Sapo  mollis  (green  soap;,  J-pound  jar  in 

case iajs . 

Soap,  hand . . . : ' cakes. 

Sponges,  gauze,  I  dozen  in  box boxes. 

Sterilizer niunber. 

Stove  alcohol do. . . 

Tank  for  alcohol do. . . 

Tool,  universal do 

Toicels,  hand do. . . 

Trays,  instrument,  nested do. . . 


936. 


CHEST,   TABIiEW^ARE. 

(Iron-bound  chest,  weight  175  pounds.) 


Bowls,  enamel  icare  or  aluminum,  .number 

Forks,  steel,  triple-plated do. . 

Knives,  steel,  triple-plated do. . 

Pitcher,  large,  enamel  ware do. . 

Pitcher,  small,  enamel  ware do. . 


108 

100 

100 

1 

1 


Plates,  enamet,  ware  or  aiMmmum.. number. 

Saucers,  enamel  ware  or  aluminum do.  -  - 

Shakers,  glass,  salt  and  pepper,  of  each .  -  do.  -  - 
Spoons,  steel,  triple-elated do 


106 
106 


MAIS'UAL  FOR  MEDICAL  DEPARTMENT^   U.    S.   ARMY. 


319 


937. 


CHEST,   TOOL,   NO.    1. 

(7ra  wooden  chest  with  handles  and  lock,  weight  ISO  pounds.) 


Au'l,  scratch number. . 

Awls,  brad,  assorted do 

Bit ,  cipansioe,  ^to  1^  inch do 

BH,  sfcrtw  driver do 

Bits,  drill,  assorted do 

Brace,  ratchet do 

Bi  ids  and  tacks,  assorted,  in  tin  box.  .boxes. . 
Clnlk   line,   ivith  reel  and  awl,   complete, 

numbor - 

Chisel,  cold,  I'ineh number . . 

Chisel,  socket  firmer,  %-inch,  with  handle. do 

Chisel,  socket  firmer,  ^inch,  7/nth  handle. do 

Chisel,  socketfirmer,  1-inch,  withhandle. do 

Chisel,   socket  firiAer,  ll-inch,  ivUh  handle, 

number 

Countersink number. . 

Dividers,  8-inch do 

J)rawing  knife,  carpenter's,  oval  blade,  10- 
inch number. . 

File,    flat    bastard,    10-inch,    tvilh    handle, 

number 

File,  round  bastard  (rat-tail),  10-inch,  with 

handle. :  .number. . 

File,  saw,  taper.  Scinch,  with  handle. .  .do — 

File,  saw,  taper,  4-inch,  with  handle do 

File,  saw,  taper,  4i-inch,  ivil.h  handle. .  .do 

Gauge,  marking do 

Gimlets,  -wooden  handles,  assorted do — 

Hammer,  nail,  adz-eye do 

Hatchet,  shingling do 

Level,  spirit,  pocket,  iron  top  plate,  japanned, 
number 


Mallet,  carpenter's;  round number. 

Nail  puller,  large do. . . 

Nail  set,  square,  4-inch do. . . 

Oiler,  zinc do... 

Oilstone do. 

Pincers,  carpenter's,  steel  jatv,  8-inch.,  .do. . . 

Plane, fore,  ironframe,  18-inch do. . . 

Plane,  hollow,  wooden  frame do. 

Plane,  jack,  ironframe,  14-inch do. . . 

Plane,  rabbet^  ironframe,  8-inch do. . . 

Plane,  rounding,  wooden  frame do. . . 

Plane,  smoothing,  ironfram-e,  9-inch. .  .\do. 

Pliers,  combination,  6-inch do. 

Rasp,  wood,  half-roimd,  lO^n-ch,  with  handle 

number 

Rule,  boxwood,  brasS'bound,  2-foot,  .number. 

Saw ,  hand,  W-itich do . 

Saw,  keyhole,  lO-inch do. 

Saw,  panel,  16-inch do. 

Saiv,  rip,  22-inch do. 

Saw  set do. 

Screw,  bench,  iron,  1-inch  diameter do. . . 

Screwdriver,  ratchet,  6-inch do. . 

Screwdriver,  regular,  4-inch do.. 

Screw,  hand,  10-inch do. . 

Spoheshavc,  3-inch do. . 

Tape  measure,  60-foot do. . . 

T-bevel,  8-inch do. 

Tri/  square,  rosewood,  9-incJi do. 

Wrench,  monkey,  10-inch do. 


938. 


CHEST,  TOOt.,  NO.   a. 

{In  wooden  chest  with  handles  and  lock,  weight  65  pounds.) 


Bits,  auger,  -^-inch,   i-inch,   l-inch,   1-inch, 

of  each number. . 

Bit,  screui -driver do 

Box  opener do 

Brace,  ratchet do 

Cliisel,  cold,  8-inch do 

Chisel,  socket  firmer,  ^inch do 

Chisel,  socket  firmer,  l^-inch do 

File,  6-incli,  mill  bastard do 

File,  saw,  5-inch do 

Hammer,  nail do 

Hatchet,  claw do — 

Nails,  assorted boxes. . 

Oilstone,  Washita number. . 

Plane,  smoothing do 

Pliers,  combination do — 


Rule,  boxwood,  3-foot number 

Saw,  panel,  20-inch. .- do. . 

Saw,  rip,  22-inch do. . 

Screws,  assorted boxes 

Spokeshave,  3-inch number 

Stencils,  brass,  letters  and  figures sets 

Stencil  brush number 

Stencil  pot,  black do. . 

Tacks  and  brads,  assorted boxes 

Tags,  shipping number 

Tape  measure,  60-foot do.  . 

Tins  as  containers  for  nails,  screws,  and 
stencils number 

Tool,  universal do. . 

Try  square,  rosewood,  9-inch do. . 


939. 


CRATE,    li'IELD   LABOKATORY. 

( Weight  82  pounds.) 


Funnel,  agateware number. 

incubator,  complete do. . . 


Screwdriver 


.number. 


320 
940. 


MANUAL  FOR   MEDICAL  DEPARTMENT^  TJ.    S.   ARMY. 


DESK,  FIEIJ>,  NO.   1. 

(  Weight  100  pounds.) 
(a)    STATIONERY. 


Bands, clastic,  assorted  sizes gross. . 

Book,  blank,  Svo,  150  pages number. . 

Books,  note,  manifolding,  4  by  6  inchts,  hind- 
ers   number. . 

Books,  note,  manifolding,  4  by  6  inches,  fill- 
ers   number. . 

Envelopes,  ofTicial,  large do 

Envelopes,  official,  letter do 

Eraser,  rubber do 

Erastr,  steel do 

Ink,  black,  powder  or  tablets boxes. . 

Ink,  red,  powder  or  tablets do 

Ink  wells number. . 

Pads,  prescription do 

Paper,  blotting pieces. . 


Paper,  carbon,  letter,  100  sheets  in  a  box 
bo.xes 

Paper  fasteners boxes. 

Paper,  writing,  letter,  100  sheets  in  pad 
pads 

Paper,  writing,  note,  100  sheets  in  pad 
pads 

Paste,  photo tubes. 

Pencils,  indelible number. 

Pencils ,  lead do. . . 

Penholders do . . . 

Pens,  steel do. . . 

Kuler do. . . 

Stamp,  penalty,  rubber,  with  pad do. . . 

Tags,  shipping do. . , 


6 
1 
3 

24 
4 

24 

1 

1 

100 


(h)    POUCH  FOR  BLANKS. 


Pouch,  canvas-lined,  waterproof  i . .  .number. 


Tubes,  japanned  tin,  with  close-fitting  covers, 
nest  djf  4^ nests. . 


(c)   MANUALS,  ARMY  REGULATIONS,  ETC. 


A rmy  Regulations . ..-. number. . 

Brill  Regulations  and  Service    Manual  for 

Sanitary  Troops number. . 

Equipment  Tables,  Q.  Af.  Supplies do 

Field  Service  Regulations do 


Manual  for  Courts- Martial number. 

Manual  for  Medical  Department do. . . 

Manual  for  Quartermaster  Corps do. . . 

Rules  of  Land  Warfare do. . . 

Tables  of  Organization do. . . 


All  ptiblished  changes  in  the  above-named  publications  should  be  placed  in  the  desk  at  the  time  of  issue 
from  the  depot. 

(f?)   BLANK   FORMS,    MEDICAL  DEPARTMENT   (pai*.  961). 


Nos.  17, 17c.  19,  24,  37,  48,  49a,  51,  51n,  59.  74, 

and  78,  of  each number. . 

Kos.  47a,  49,  50,  51b,  and  56,  of  each... do 

Nos.  28, 35,  and  53,  of  each do 


Nos.  77,  82,  and  83,  of  each number. 

No.  52 do... 

Nos.  17a  and  176,  of  each do. . . 


48 
100 
300 


(e)    BLANK    FORMS,    ADJUTANT   GENERAl's    DEPARTMENT    (par.  962). 


No.  370  W.  D number. . 

Nos.  489,  526,  and  527,  of  each do 

Nos.  3,  15,  17,  21,  22,  25,  20,  30,  59,  6(1,  99,  135, 
141, 143, 1-19, 196,  332, 339,  3S0, 383,  415,  and 
525,  of  each number. . 


No  34     number. 

No.  29 do. . . 

Correspondence  Book do. . . 


(/)   BLANK   FORMS,    QUARTERMASTER  CORPS   (par.  963). 


Nos.  366  W.  D.  and  36Ga  W.  D.,  of  each, 
number 

Nos.  38,  218,  223,  and  406  (small),  of  each, 
books 

Nos.  69  and  70,  of  each number. . 


Nos.  39, 160, 160a,  1656, 180,  204,  208,  213,  and 

213a,  of  each number. . 

Nos.  8a  and  41,  of  each do — 

No.  201 do.... 

No.  165 do. . . . 


4 

6 

24 

100 


1  To  be  used  for  carrying  blanks,  stationery,  etc.,  when  conditions  are  such  that  the  field  desk  can  not 
betaken.  ,       „.         ^^.  ,  „ 

2  Containers  for  stationery,  etc.,  in  pouch.    Sizes  of  tins  as  follows: 

One  2h  inches  diameter  and  11  inches  long. 
One  2"inchps  diameter  and  lOi.  inches  long. 
One  II  inches  diameter  and  10  inches  long. 
One  1  inch  diameter  and  9  inches  long. 


MANUAL  FOR   MEDICAL  DEPARTMENT^   U.    S.    ARMY.  321 

(g)    BLANK    FORMS,    ORDNANCE    DEPARTMENT    (par.  964). 


Nos.  151  (pad  of  30  sheets)  and  1715  (pam- 
phlet), of  each number. . 

Kos.  18a  and  19,  of  each...-. do 


Nos.  86,  94,  and  3S6,  of  each . 
Nos.  18  and  152,  of  each 


.number. 
do... 


(h)   INSPECTOR   general's   DEPARTMENT   (par.  965). 


No.  1 number..  4      No.  la. 


.number.. 


(C.  M.  M.  D.  No.  3.) 


941. 


DESK,  FIELD,  NO.  2. 

( Weight  35  pounds.) 

(a)    STATIONERY. 


Bands,  elastic,  assorted  sizes gross.. 

Book,  correspondence  (issued  by  A.  G. 
Dept.) number. . 

Books,  note,  manifolding,  4  by  6  inches,  bind- 
ers   number . . 

Books,  note,  manifolding,  4  by  6  inches, 
fillers number. . 

Envelopes,  official,  letter do 

Eraser,  rubber '. do 

Ink,  black,  powder  or  tablets boxes. . 

Ink  well number. . 

Pads,  prescription do 

Paper,  blotting pieces. . 


Paper,  carbon,  letter,  100  sheets  in  a  box, 
boxes 

Paper,  writing,  letter,  100  sheets  in  pad, 
pads 

Paper,  writing,  note,  100  sheets  in  pad, 
pads 

Paste,  photo tubes. 

Pencils,  indeUble number. 

Pencils,  lead do. . . 

Penholders do. . . 

Pens,  steel do. . . 

Ruler do. . . 


(6)    MANUALS,    ARMY    REGULATIONS,    ETC. 


Army  Regulations number.. 

Drill  Regulations  and  Service    Manual  for 

Sanitary  Troops number. . 

Equipment  Tables,  Q.  M.  Supplies do 


Field  Service  Regulations number. 

Manual  Medical  DepartmerU do. . . 

Rules  of  Land  Warfare do, . . 


All  published  changes  in  the  above-named  publications  should  be  placed  in  the  desk  at  the  time  of  issue 
from  the  depot. 

(c)    BL.A.NK    FORMS,    MEDICAL   DEPARTMENT   (par.  961). 


Nos.  17,  17c,  24,  37,  47a,  49,  and  50,  of  each 

4 
6 
12 

Nos.  28  and  53,  of  each number.. 

Nos.  17a,  176,  77,  82,  and  &3,  of  each.  ..do 

No.  52 do 

24 

4S 

Nos.  51  and  51a,  of  each number.. 

Nos.  35,  516,  56,  and  78,  of  each do 

100 

{C.  M.  M.  D.  No.  3.) 


942. 


DISPENSING    SET. 


Salt  mouth  bottles. 

Tincture  bottles. 

500  gm 

number. . 

9 

lliter 

...number.. 

11 

250  gm 

do.... 

28 

500  c.  c 

do.... 

9 

125  gm 

do.... 

22 

250  c.c 

do.... 

21 

60  gm 

do.... 

23 

125  c.  c 

do...- 

6 

60  c.  c 

do.... 

18 

Salt 

mouth  bottles,  amber  colored. 

Tincture  bottles,  amber  colored. 

60  gm 

number . . 

4 

125  c.  c 

...number.. 

2 

Steeple-top  jars. 

250  gm 

number . . 

10 

Total  bottles 

do.... 

153 

Total  jars 

do.... 

10 

70156°— 18 21 


322 


MANUAL-  FOR  MEDICAL  DEPARTMENT,   U.    S.   ARMY. 


943. 


EQUIPMENTT,  BORSS,  HOSPITAL  CORPS. 

(New  model.) 


Bridle,  Cavalry numter. 

Carrier  strap do 

Cooling  strap do 

Cum/comb do — 

Feed  bag do. . . . 

Grain  bag do — 

Horse  brush do — 

Lariat do — 


Piclcel  pin number 

Picket- pin  carrier,  special do. . 

Pommel  pockets pjirs 

Ration  bag  retaining  strap,  special .  .mirahcT 

Saddle do.. 

Saddle  blanket do. . 

Spurs pairs 

Spur  straps sets 


Note.— With  each  eqiupment  there  is  issued  one  halter  and  strat  (or  rope)  for  stable  use,  and  one 
horse  cover  (or  liorse  cover,  blanket  lined),  when  necessary.  Spurs  and  spur  straps  are  carried  as  personal 
eciuipment  by  the  Ordnance  department.  They  are  included  here  and  omitted  from  paragraph  865  as  a 
matter  of  conVemence  in  accounting. 


944. 


FIRST-AID  PACKET. 

(In  metal  case  4  by  2|  by  1  inch.) 


Bandages,  gauze^  sublimated,  i  by  84  inches, 
numter 

Comiiresses,  gau.-re,  sublimated,  34  by  3  J 
inches  (one  sewed  to  each  bandage), 
number 


Pins,  safety.  No.  3 number . 

Directions  for  application,  printed do. . . 


Note  —Directions  for  applying  first-aid  packets  are  also  given  in  the  Drill  Regulations  and  Service 
Manual  for  Sanitary  Troops. "  For  specifications  for  first-aid  packets  refer  to  Appendix:  First-aid  packets. 

945.  FIRST-Air>  PACKET,  FOR  INSTRUCTION. 

(In  a  cardboard  box;  contents  unsterilized.) 

This  packet  consists  of  a  cardboard  box,  with  the  same  contents 
as  given  for  the  metal  case  (par.  944),  but  of  stronger,  more  durable, 
and  unsteriUzed  material. 


946. 


FIRST-AID  PACKET,   SHEIiL-WOUND. 

(In  tough  paper,  with  directions  printed  thereon.) 


Bandage,  gauze,  sublimated,  3  by  48  inches 
attached  to  a  compress  of  sublimated 
gauze  6  by  9 inches number. . 


Bandage,  gauze,  sublimated,  5  yards  by  3 

inches number. . 

Pins,  safety,  No.  3 do 


947. 


FOOD,   AMBULANCE  BOX   OF. 

{Wooden  chest  with  pad^lock  and  two  ketfs,  weight  36  pounds.) 


Beef,  soluble,  liquid  or  extract,  in  3-ounce 
container number. . 

Can  opener do 

Cocoa,  8-ounce  tin tins. . 

Mai  clios,  safety,  in  tin  box boxes. . 

Mil'j,  condensed,  unsweetened,  1-pound 
tin tins. . 


Pepper,  black,  1  ounce,  in  dredge  with  screw 

cap number.. 

Salt,  .3  ounces,  in  dredge  with  screw  cap. .do — 

Sugar,  granulated,  4  pounds,  in  tin tins. 

Tea,  green  or  black pounds. 


Note.— This  box,  with  the  special  containers  belonging  to  it,  is  ordinarily  issued  empty,  with  the 
expectation  that  food  for  the-sick  will  bo  purchased  from  the  hospital  fund. 


948. 


FOOD,   BOX   OP. 

{Wooden  box  with  padlock  and  two  kegs,  iceight  90  pounds.) 


Beef,  soluble,  liquid   or  extract,  3-ounce 

container number. . 

Can  opener do — 

Cocoa,  H-'ounce  tin tins. . 

CofToo  ground,  2  pounds,  in  tins do 

Hard  Dread,  i  pound,  in  carton cartons. . 

Milk,    condensed,    unsweetened,    1-pound 
tin number . . 


Pepper,  black,   1   ounce,  in  glass  shaker 

lunnlier ■ 

Salt ,  table,  4  ounces,  in  gtai'.i  shaker .  .number . 

Soup,  assorted,  I-pourid  tin tins. 

Sugar,  granulated,  4  pounds,  in  tin. .  .do. .. 
Tea,  greener  black pounds. 


Note.— This  box,  with  the  special  containers  belonging  to  it,  is  ordinarily  issued  empty,  Anth  the 
expectation  that  the  food  for  the  sick  will  be  purchased  from  the  hospital  fund. 


MANUAL  FOR  MEDICAL  DEPARTMENT,  U.   S.  ARMY. 


323 


949. 


INOrVIDUAIi  DRBSSINa  PACKET. 


The  contents  of  this  packet  are  identical  with  those  of  the  first-aid 
packet  (par.  944),  but  they  are  inclosed  in  a  nonmetal  covering. 

Note.— The  directions  for  applyiag  the  first-aid  packet,  as  given  in  the  Drill  Regalations  and  Service 
Manual  for  Sanitary  Troops,  are  equally  applicable  to  the  individual  dressing  packet. 

950.  MICROSCOPE,   FIELD,  WITH  ACCESSORY  CASE. 

The  microscope  case  and  tlie  accessory  case  are  both  contained  in  a  harness-leather  case  with  luindle.) 

MICROSCOPE. 
(In  hardwood  case  with  lock  and  two  keys.) 


Microscope,  with  Abbe  condenser  and  iris 

diaphragm number.. 

Nose  piece,  triple do 

Objectives,  Nos.3and6,and^inch  oil  immer- 
sion, of  each number. . 


Oculars,  Nbs.  2  and  4,  of  each number. .  1 

Oil,  immersion,  bottle  in  case do 1 

Stage,  mechanical do 1 


ACCESSORY  CASE. 

(Hardwood  case  with  lock  and  key.) 


Acid,  hydrochloric,  1  per  cent  in  95  per  cent 
alcohol,  in  gl".ss  stopper  bottle ounces.. 

Alcohol,  absolute,  60  c.  c.  in  glass  stopper  bot- 
tle, bottles 

Alcohol,  methyl,  60  c.  c.  in  glass  stopper  bottle, 
bottles 

Bottles,  dropping,  T.  K.  SO  c.c number. . 

Bottle,  glass  sloppier,  for  cover  glasses  in  al- 
cohol  number. . 

Bottles,  glass  stopper,  for  slides  in  alcohol, 
number 

Carbol-fuchsin,  0.1-gm.  tablets,  6  in  tube, 
tubes ; 

Covers,  glass ounces. . 

Forceps,  cover  glass,  Cornet's number. . 

Forceps,  straight,  medium  fine do 

Forceps,  straight,  medium  heivii do 

Graduates,  glass,  10  c.  c.  and  50  c.  c.  nested, 
of  each number. . 


Labels,  microscopical,  square boxes. 

Lamp,  alcohol number. 

Lancet,  blood do... 

Loop,  platinum,  with  handle do... 

Medicine  droppers,  straight do. . . 

Methylene  blue,  0.1-gm.  tablets,  6  in  tube, 

tubes 

Needle,  platinum,  with  handle number. 

Paper,  filtering,  Munktel,  No.  1  F. packages. 

Pencil,  lead number. 

Pencil,  wax do . . . 

Phenol,  C.  p.  30  c.  c.  in  glass  stopper  bottle, 

bottles 

Slides,  glas? dozen. 

Wire,  platinum,  extra cm. 

Wright's  stain,  0.05-gm.  tablets,  6  in  tube, 

tubes 


951. 


MICROSCOPE,   POST. 

(In  hardwood  case  ivith  lock  and  two  keys.) 


Microseope,  with  Abbe  condenser   and  iris 

diaphragm number.. 

Nose  piece,  triple do 

Objectives,  Nos.  3  and  6,  and  j^inch  oil  immer- 
sion, of  each number. 


Oculars,  TVb.s.  8  and  4,  of  each niunber. 

Oil,  immersion,  bottle  in  case do... 

Stage,  mechanical do... 


952. 


RECRUITING   OUTFIT,   EMERGENCY. 

(See  par.  887.) 


Astigmatic  dial,  triple  line number. . 

Classification  and    Use  of  Finger   Prints, 

Henry number. . 

Container  for  test  cards do 

Cotton,  ab'=:orbent,  in  roll poimds.. 

Head  mirror number.. 

Ink  plate do 

Ink,  printing,  in  i-poimd  tuljc tubes. . 

Pads,  practice number. . 

Roller,  ink,  handle  for do 


Roller,  ink,  summer number. 

Specula,  ear,  3  in  set sets. 

Speculum,  na.'sal number. 

Stethoscope,  double do. . . 

Syringes,  g'ess,  Luer  type,  2  c.c do. . . 

Syringe,  glass,  e.xtra  needles  for do. . . 

Tape  vicasure,  60 inches do... 

Therniometers,  clinical do. . . 

Tongue  depressor do. . . 

Vision  test  card,  folding do. . . 


324 


MANUAL   FOR   MEDICAL   DEPAETMENT,   U.    S.    ARMY. 


953. 


SADDIiE,   PACK. 

(_Net  weigJit,  complete,  75  pounds.) 


The  Medical  Department  pack  outfit  consists  of  the  packsaddle 
proper  and  a  number  of  accessory  articles. 


THE  PACKSADDLE  PROPER. 


Pack  frame,  metal number . . 

Stretchers  or  spreaders  for  saddle  pads,  corru- 
gated metal number. . 

Saddle  pads do — 

Quarter  straps do — 

Qtiarter  strap  ring  sets,  complete,  consisting  of 
2  rings  with  leathei   union  and  Z  cincha 

straps sets.. 

Cincha,  horsehair,  double do 

Accessory  leather  straps number. . 


Breast  collar  straps number . 

Breast  collar  body  piece do. . . 

Breast  collar  neck  piece do. . . 

Breast  collar  choke  strap do... 

Fork  strapsfor  turnback do. . . 

Ttirnback  and  crupper,  complete do. . . 

Breeching  hip  strap do... 

Breeching  sirap„„ do. . . 

Breeching  body  piece do. . . 

Thongs,  rawhide do. . . 


ACCESSORY  ARTICLES. 


Rice  frames,  modified,  Nos.  1  and  2,  of 
each number. . 

Straps,  leather,  for  attachment  of  frame  to  rear 
cincha  ring nimiber . . 

Load  straps,  web,  long  and  short,  o/eocft,  num- 
ber  

Load  cincha  {belly  piece),  short,  complete  with 
2 cincha  straps number.. 


Load  cincha  (top  piece),  long,  complete, 
number 

Manta,  canvas,  6  by  6  feet,  uith  20  rarvhide 
thongs number. . 

Saddle  blanket do 

Blind,  cupped,  complete do — 


METHOD    OF    USING    THE    PACK    OUTFIT. 

To  use  the  pack  outfit,  the  saddle  blanket  is  placed  on  the  animal 
and  the  packsaddle  proper  over  the  blanket.  The  breast  collar  and 
breeching  are  adjusted  to  the  animal  as  required.  The  saddle  is  then 
firmly  cinched  in  position.  To  prevent  undeshable  moving  about  on 
the  part  of  the  pack  animal  while  the  saddle  and  load  are  bemg  placed 
in  position,  it  is  advisable  to  blindfold  the  animal  by  means  of  the 
cupped  blmd. 

To  load  the  animal,  place  the  No.  1  frame  on  the  saddle  followed  by 
the  No.  2  frame  (the  number  is  stamped  on  the  horizontal  bar  of 
each  frame).  Adjust  the  leather  straps  attached  to  the  D  rings  on 
the  under  side  of  each  frame  so  that  when  snapped  into  the  cincha 
rings  of  the  saddle  they  will  hold  the  frame  firmly  against  the  saddle 
but  not  so  tightly  as  to  bend  the  frame.  The  boxes  or  other  articles 
constituting  the  side  loads  are  placed  in  the  frames  and  secured  by 
the  short  load  straps  passed  to  the  D  rings  on  the  horizontal  bar  of 
each  frame.  The  top  load,  if  any,  is  then  put  in  place.  The  long 
load  straps  are  now  thrown  over  all,  the  rings  in  their  ends  slipped 
into  the  hooks  on  the  frames,  and  the  straps  drawn  up  tightly  by 
means  of  the  buckles.  If  necessary,  the  load  mmy  be  further  secured 
by  the  use  of  the  load  cincha. 

Experienced  packers  may  find  it  an  advantage  to  substitute  for 
the  load  straps  a  single  length  of  f-inch  rope  with  a  ring,  or  loop,  in 
one  end. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY. 


325 


The.boxcs  carried  as  side  loads  need  no  protection  from  the  weather. 
When  a  top  load  is  carried  it  is  wrapped  in  the  manta  before  being 
loaded. 

Great  care  should  bo  taken  that  approximately  the  same  weight  is 
carried  on  each  side  of  the  saddle,  otherwise  the  load  will  carry  badly 
and  the  pack  animal  will  be  hkely  to  develop  sore  back. 


954.  STJRGICAIi  WRESSINGS,   AMBULANCE  BOX  OF. 

(  Wooden  chest.     Weight  gS  pounds.) 


Bandages,  gauze,  compressed,  3  sizes, 
numbor 

Chlorofonmim,  J-pound  tins number.. 

Cotton,  atisorbent.  sterilized,  in  1-ouncc 
package packages. . 

lulividual  dressing  packets  (par.  949), 
num"ber 

Gauze,  sublimated,  2  half-yard  lengths  in 
package  packages. . 

Hydrargyri  chloridum  corrosiviun,  tablets 
antiseptic)  (par.  902),  3o0  in  12-ouiice 
tin tins.. 


..boxes.. 


Iodine  swabs,  6  in  box., 

lesive,  z.  c,  5  yards  by  1  inch, 


Pins,  safety dozen 

adhesive,  z.  c,  5  yards  by  '  '     ' 

Spiritus  ammoniae  aromaticus,  J  pound  in 
.DC 


Plaster 
spools 


glass-stoppered  bottle .bottles. . 

Vials,     4-ounee,     with    rubber     stoppers, 
number 


965. 


SURGICAL  DRESSINGS,   BOX   OF. 

(  Weight  D3  pounds.) 


Bandages,    gauze,    compressed,     3    sizes, 

number 

Cotton,   absorbent,   sterilized,   in   1-ounce 

package  packages. . 

Individual   dressing    packets    (par.    94'j), 

number 

Gauze,  subUmated,  2  half-yard  lengths  in 

package packages. . 

lodum-potassii  iodidum tubes. . 

Pins,  safety,  3  sizes dozen. . 


144 
44 


140 
60 


Plaster,  adhesive,  z.  o.,  5  yards  by  1  inch, 
spools 

Sapo  moUis  (green  soap),  ^pound  jar  in  case, 
jars ■ 

Splints,  wire  gauze  for,  1  yard  in  roll.  .roUs. 

Splints,  wood  veneer number. 

Tags,  diagnosis books. . 

\  ials,  4-ounce,  with  rubber  stoppers, 
number 


956. 


SYRINGE,   HYPODERMIC. 


This  syringe,  as  now  issued,  has  as  accessories,  besides  two  needles 
and  extra  wires  (the  needles  and  wires  are  expendable),  one  tube  of 
each  of  the  following  hypodermic  tablets: 


Apomorphlnaa  hydrochloridiun mgms. 

Atropinae  sulphas do. .. 

Cocamae  hydrochloridum do . . . 


6 

0.65 
10 


Morphinae  sulphas mgms. 

Nitroglycerin do. . . 

Stryehninae  sulphas do. . . 


8 

0.C5 

1 


957. 


THERMO -CAUTERY,  PAQUELIN'S. 

(In  imitation-leather  covered  case.) 


Apparatus,  double  bulb,  for  supplying  air, 

number 

Cautery  knife number. . 

Cautery  point do 


Handle,  canulaled,  ebony number. 

Reservoir,  for  hydrocarbon do — 

Tube,  lengthening do — 

Tube,  rubber do... 


Note.— Some  of  the  older  models  have,  in  place  of  the  cautery  point,  a  cautery  button,  or  both  may  be 
found  iu  some  cases. 


326 


MANUAL  FOR   MEDICAL  DEPARTMENT^   U.    S.   ARMY. 


958. 


VBNEKEALi  PROPHYLAJXIS   UNIT. 

(/«  pine  box  with  hinged  lid.     Weight  id  pounds.) 


Basi7is.  e.w munber. . 

Form  77,  M.  J) do.... 

Graduate,  §lass,  120  c.  c,  in  cnse do 

Hydrargyri  chloridiim  corrosivum,  tablets 
(antiseptic)  (par.  9021,  350  in  12-ounce  tin, 
tins 

Prot:u-gol,  2  gms.  in  ampul ampuls. . 


3 

200 

1 


1 

200 


Soap,  I i-ory cakes. . 

Sponges,  gauze,  1  dozen  in  box boxes. . 

Syringes,  penis,  h.  r number. . 

towels,  ftand do 

Unguentiun  hydrargyri  chloridi  mitis,  30 
X)er  cent,  h  pound  "in  wide-mouth  bottle, 
bottles 


Note.— List  of  contents  and  directions  for  administering  the  prophylactic  are  iiasted  on  inside  of  cover. 


959. 


VISION   TEST    SET. 


Canli,  folrling,  teH,  for  testing  visual  acuity. 

2 
1 

Pamvlilet  of  imtructions  for  using  the  vision 
tesi set number. . 

1 

Dial,  triple  line,  astigmatic nimaber. . 

Test  type  card,  Jaeger,  indestructible . .  .do 

Test  wools,  Holmgren,  for  testing  color  sense. 

1 
1 

(C.  M.  M.  D.,  No.  3.) 


ARTICLE  XXI.— BLANK  FORMS. 


960.  In  the  following  lists  tire  included  all  Medical  Department 
forms,  the  War  Department  standard  forms  issued  and  used  by  the 
Medical  Department,  and  those  forms  of  other  staff  departments 
which  are  in  common  use  by  medical  officers.  These  foi-ms  are  sup- 
plied as  indicated  under  each  department,  respectively,  except  that 
in  the  theater  of  operations  blank  forms  are  obtained  as  indicated  in 

paragraph  551. 

MEDICAL  DEPARTMENT. 

961.  Requisitions  for  these  blanks  for  the  use  of  troops  under  the 
jurisdiction  of  a  department  commander  will  be  made  on  Form  37, 
on  the  basis  of  a  six  months'  supply  for  posts  or  of  a  one  month's 
supply  for  troops  in  the  field,  and  be  forwai'ded  to  the  department 
sui^eon,  who  will  alter  them  as  he  deems  appropriate  and  refer  them 
as  approved  to  the  proper  medical  supply  depot  for  issue.  Requisi- 
tions for  the  use  of  troops  mider  the  immediate  jurisdiction  of  the 
War  Department  will  be  prepared  in  like  manner  and  forwarded  to 
the  Surgeon  General.     (See  par.  5ol&.)     (a  M.  M.  D.,  No.  2.) 


Form 
No. 


Purpose. 


14 
320 
320B 
322 
322A 
325 

326 

327 

329A 

329B 

330 

330A 


330C 

334 

334A 

335 

341A 

352 

353 

354 

355 
358 
365 
377 


(a)  Wak  Department  Standard  Forms. 

Report  of  open-market  purchases  and  procurement  of  serviees  not  personal  exceeding  $10a 

Account  current  (large  size,  10  appropriations,  16  by  lOJ). 

Account  current  (small  size,  2  appropriations,  14  by  8). 

Abstract  of  funds  received  from  authorized  sales  of  public  property  (exhibit  to  account  current). 

Abstract  of  fimds  received  from  sales  of  medicines  to  ci\ilians  (exhibit  to  account  current). 

Account  of  sales  of  public  property  at  public  auction  or  on  sealed  proposals  (exhibit  to  account  cur- 
rent). 

•Combination,  invoice  of  and  cash  receipt  for  funds  transfeiTed  (voucher  to  account  cun-ent). 

Abstract  of  disbursements  (medium  size,  11  appropriations,  16  by  lOi,  exhibit  to  accoimt  current). 

Abstract  of  disbursements  (small  size,  3  appropriations,  14  by  8,  exhibit  to  account  current). 

Voucher  to  abstract  of  disbursements,  tor  purchases  and  services  other  than  personal,  including 
laundry  accounts  (small  size,  lOi  by  8).  ,.,■,. 

Voucher  to  abstract  of  disbursements,  for  purchases  and  services  other  than  personal,  including 
laundry  accounts  (long  size,  14  by  8).  ,       ^       -     ^ 

Voucher  to  abstract  of  disbuisements,  for  purchases  and  ser^•lces  other  than  personal,  extra  sheet, 
104  by  8  (insert).  ,        ^  wx,     ». , 

Voucher  to  abstract  of  disbursements,  for  purchases  and  scr\^ces  other  than  personal  (book  form, 
double  sheet,  16  by  104).  ,.     ,   ^.       .         ^t        r.        x 

Vouclier  to  abstract  of  disbiursements,  pay  roll  of  civilian  employees  (including  Army  Nurse  C  orps). 

Voucher  to  abstract  of  disbursements,  pay  roll  of  civilian  employees,  extra  sheet. 

Voucher  to  abstract  of  disbursements,  personal  ser^-ices  (indi\'idnal  pay  roll  of  employee). 

Voucher  to  abstract  of  disbursements,  for  job  printing  (small  size,  14-  by  Si).     _ 

Vouchor  to  abstract  of  disbursements,  for  purchases  of  medicines  on  prescription. 

Voucher  to  abstract  of  disbursements,  personal  ser\ices,  medical  attendance  by  civilian  physician. 

Voucher  to  abstract  of  disbursements,  personal  services,  examination  and  vaccination  of  recrmts  by 
civilian  physician.  ,         _  ,       .   ., ,        . .   , 

Voucher  to  abstract  of  disbursements,  care  and  treatment  by  cnil  hospital. 

Voucher  to  abstract  of  disbursements,  personal  services,  civilian  nurse. 

Subvoucher,  receipt  for  cash  payment.  ,        ,.     ,  x,.„ 

Voucher  to  abstract  of  disbursements,  personal  services,  reimbursement  of  medical  bins. 

327 


328  MANUAL   FOR   MEDICAL  DEPARTMENT     U.    S.   ARMY. 


Purpose. 


(6)  Medical  Department. 

Invoice  of  articles  purchased  (to  accompany  bill  for  supplies). 

Issue  slip,  expendable  property. 

Issue  slip,  none.xpendable  property. 

Credit  slip,  nonexpendable  property. 

Exchange  slip,  nonexpendable  property. 

Return  of  medical  property,  front,  card. 

Return  of  medical  property,  original. 

Return  of  medical  property,  retain. 

Return  of  medical  property,  back,  card. 

List  of  medical  property  expended  (for  supply  depots  only"). 

Invoice  of  or  receipt  for  medical  property  delivered  to  Quartermaster  Corps  for  transportation. 

Invoice  of  or  receipt  for  medical  supplies,  post. 

Invoice  of  or  receipt  for  medical  supplies,  held. 

Invoice  of  or  receipt  for  medical  supplies  (single  sheet). 

Invoice  of  or  receipt  for  dental  supplies. 

Packer's  list. 

Requisition  for  post  medical  supplies,  annual. 

Requisition  for  post  medical  supplies,  field  medical  supplies,  or  dental  supplies,  special. 

Requisition  for  dental  supplies,  annual. 

Requisition  for  blank  forms. 

Circular  advertisement  and  proposal  for  supplies. 

Circular  advertisement  and  proposal  for  laundry  work. 

Abstract  of  proposals. 

Contract  for  medical  supplies. 

Contract  for  laundry  work. 

Contract  for  services  as  nurse. 

Contract  with  private  physician  (general  form). 

Contract  with  private  physician  (^specialform). 

Contract  with  acting  dental  surgeon. 

Return  of  medical  officers,  etc. 

Return  of  the  Hospital  Corps,  garrison. 

Return  of  the  Hospital  Corps,  fleid. 

Application  for  transfer  to  the  Hospital  Corps. 

Statement  of  the  hospital  fund,  etc. 

Employee's  certificate  of  indeotedness  for  hospital  service. 

Monthly  sanitary  report. 

Sanitary  inspection  report.  Medical  Department  organizations. 

Report  sheet  for  report  of  sick  and  wounded. 

Nominal  check  list  for  report  of  sick  and  wounded  (sheet  1). 

Nominal  check  list  for  report  of  sick  and  wounded  (follow  sheet). 

Register  and  report  card.' 

Index  to  register  of  patients  (card). 

List  of  sick  and  wounded  (used  in  the  theater  of  operations  only). 

Surgeon's  request  for  descriptive  list. 

Clinical  record,  brief. 

Clinical  record,  family  and  personal  history. 

Clinical  record,  history  of  present  disease. 

Clinical  record,  subjective  symptoms. 

Clinical  record,  objective  symptoms. 

Clinical  record,  objective  sjouptoms,  continued. 

Clinical  record,  progress. 

Clinical  record,  temperature,  etc. 

CUnical  record,  temperature,  etc.,  graphic. 

C!ini;al record,  treatment. 

Clinical  record,  operation  report. 

Clinical  record,  radiographic  report. 

Clinical  record,  report  on  urine. 

Clinical  record,  report  on  feces. 

Clinical  record,  report  on  sputum. 

Clinical  record,  report  on  blood. 

Clinical  record,  Wassermann  test. 

Clini'  al  record,  gonococcus  fixation  test. 

Clinical  record,  typhoid  report. 

(  linical  record,  report  on  stomach  contents. 

Clinical  record,  laboratorj'  report,  miscellaneous. 

ifalarial register. 

Report  of  dental  work.  .^  ,  ^ 

Report  of  examination  for  sergeant,  or  sergeant  first  class,  Hospital  Corps. 

Certificate  of  proficiency.  Hospital  Corps,  field  hospital  or  amoulance  company. 

Certificate  of  proficiency,  Hospital  Corps  detachment. 

Certificate  of  proficiency.  Hospital  Corps,  Army  Medical  School. 

Certificate  of  identity  (in  books  of  100). 
ICfhcien'-v  report.  Array  Nurse  Corps. 

Return  of  the  Nurse  Corps. 

Morning  report.  Army  Nurse  Corps. 
Dental  cnmigement  slip. 

Record  ofassignment  and  pay.  Army  Nurso  Corps. 

Cerlificalo  of  graduation,  Army  Medical  School. 
1  ^Vhen  used  for  register  of  patients  'known  as  "register  card  ";  for  report  of  sick  and  wounded  as  "report 
card";  for  transfer  of  patients  as  "transfer  card";  for  change  of  diagnosis  as  '  change  of  diagnosis  card    ; 
lor  correction  of  report  card  as  "correction  card." 


MANUAL  FOR   MEDICAL  DEPAETMENT,   U.    S.    AEMY. 


329 


Form 
No. 


69 

70 

71 

72 

72o 

73 

74 

75 

76 

77 

78 

79 

80 

81 

82 

83 

84 

85 
94 
95 
97 
99 
100 


Purpose. 


(6)  Medical  Depaktment— Continued. 

Nurse's  beds''do  uotrs. 

Report  of  pliysica'  examination,  Army  Nurse  Corps. 

Chi.J  surgeon 's  directory  (cards). 

Surgeon's  morning  report  of  sick. 

Morning  report  of  ward. 

Consolidated  morning  report  of  wards. 

Diet  card. 

Mess  account. 

I'atient's  property  card. 

I^atient's  property  tag. 

\'enereal  propliylaxis  card. 

Syplulitic  register. 

Register  of  dental  patients  (card). 

Efficiency  report,  Hospital  Corps  soldier. 

Vaccination  register. 

Daily  field  report  of  sanitary  personnel  and  transportation. 

Daily  field  report  of  patients.  ,-,  .  j   ,   ■, 

Consolidated  daily  fie^d  report  of  sanitary  personnel  and  transportation,  and  consolidated  daily 

field  report  of  patients. 
Noneffective  curve  cliart. 
Report  of  chemical  analysis  of  water. 
Report  of  bacteriological  examination  of  water. 
Wassermann  card. 
Gonococcus  fixation  card. 
Recruit  depot  Wassermann  record. 


{C.  M.  M.  D.,  No.  5.) 

962.      ADJUTANT  GENERAL'S  DEPARTMENT. 

Requisitions  for  these  forms  should  be  made  January  1  and  July  1 
to  the  department  adjutant  general,  except  in  the  case  of  forms  the 
titles  of  which  are  printed  in  italics,  which  are  supphed  directly  by 
The  Adjutant  General's  Office. 


Form  No. 


370  W.D. 
3 

15 

17 

18 

21 

22 

25 

26 

27 

27a 

29 

30 

34 

59 

66 

95 

99 
135 
140 
141 
143 
149 
196 
260 
261 
265 
277 
332 
3.39 
377 
378 
380 
383 


Purpose. 


Final  statement. 

Notification  of  discharge. 

Statement  of  service. 

Certificate  of  disability  for  discharge. 

Trimonthly  report  of  enlistments. 

Muster  roll,  detachment. 

Enlistment  paper. 

Descriptive  and  assignment  card. 

Field  return. 

Post  return.! 

Extra  sheet  to  Form  27. 

Descriptive  list. 

Return  of  detachment  (with  model).i 

Inventory  of  efTects  of  deceased  soldier. 

Report  of  cases  tried  by  summary  court.i 

Furlough. 

Descriptive  list  of  deserters. 

Record  of  summary  court.i 

Report  of  physical  examination  (recruit). 

Account  of  clothing  issued  to  recruit. 

A  pplication  for  enlistment. 

Medical  certificate  for  leave  of  absence. 

Return  of  casualties  in  action. 

Report  of  survey. 

Identification  record  card. 

Photograph  and  negative  jacket.  ,.       ,    ,         ,•  j. + 

Monthly  report  of  medical  examination  of  applicants  for  enlistment. 

Descriptive  card  of  public  animals. 

Morning  report,  company  or  detachment. 

Daily  sick  report. 

Report  of  physical  examination  and  test,  field  officers. 

Report  of  physical  examination  and  lost,  captains  and  lieutenants. 

Designation  of  beneficiary  of  officer  or  enUsred  man.  .  ,.   ^     ^  „  i,„  t^„^„-<.«,««+ 

Requisition  for  books  and  blank  forms  supplied  by  The  Adjutant  General's  Department. 

1  For  general  hospitals  or  other  independent  commands  only. 


330  MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

Adjutant  GeneraVs  Department — Continued. 


Form  No. 

Purpose. 

41)  W.D. 

Report  of  death  and  disposal  ot  remains.* 

423 

I'rcference  card. 

429 

Efficiency  report. 

442 

lleservist's  enlistment  paper. 

443 

Reservist's  descriptive  card. 

444 

Reservist's  quarterly  report  card. 

484 

Report  of  board  on  disability  of  enlisted  men. 

489 

jifodrf  remarks  for  muster  rolls. 

525 

Honorable  discharge  from  United  States  Army. 

526 

Discharge  from  United  States  Army. 

527 

Dishonorable  discharge  from  Umted  States  Army. 

659 

Report  of  soldier's  transfer  to  Army  Reserve. 
Correspondence  book. 

Correspondence  model. 

1-107 

(Interior  Department)  Medical  certificate  for  insane  persons. 

'For  general  hospitals  or  other  independent  commands  only. 


963.  QUARTERMASTER  CORPS. 

The  quartermaster  at  a  garrisoned  post  is  the  source  of  supply 
for  all  organizations  at  the  post  requiring  blank  forms  of  the  Quarter- 
master Corps.  (For  reference  to  complete  Ust  of  Quartermaster  Corps 
forms  see  Appendix:  Blank  Forms.) 


Form 
No. 


Purpose. 


336 

350 

350a 

366 

3e6a 

309 


8a 
38 
39 
41 
42 
69 
70 
160 
160a 
164 
165 
165a 
165b 
ISO 
180i 
201 
204 
208 
211a 
213 
213a 
218 
21Sa 
223 
227 
406 


(o)  War  Department  Standard  Forms. 
Offlcers'  pay  accoimt. 

Reimbursement  of  traveling  expenses  (book). 
Reimbursement  of  traveling  expenses  (loose  sheet). 
Pay  roll,  enlisted  men  (first  sheet). 
Pay  roll,  enlisted  men  (insert  sheet). 
Sol'dier's  or  nurse's  pay  voucher  (when  entitled  to  commutation  of  quarters,  heat,  or  light). 

(b)  Quartermaster  Corps. 
Advice  of  soldiers'  deposits. 
Soldier's  allotment,  original  and  duplicate. 
Discontinuance  of  soldier's  allotment. 
Soldier's  deposit  book. 

Certificatejor  commutation  of  rations  (indi\iduai). 
Model  remarks  for  pay  rolls. 
Instructions  (pay  roil). 
Requisitions  for  supplies,  general.i 
Requisitions  for  supplies,  general  (extra  sheet). 
Directions  for  measuring  for  clothing  of  special  sizes. 
Individual  clothing  slip  (original  and  duplicate). 
Individual  clotliing  slip  for  Alaska  (original  and  duplicate). 
Statement  of  clothing  charged  to  enlisted  men. 
Abstract  of  clotliing  drawn  on  individual  clothing  slips. 
Abstract  of  clothing  dra\vn  on  indi\idual  clotliing  slips,  in  Alaska. 
Invoice  of  or  receipt  for  quartermaster  jiroperty  transferred. 
Requisition  for  issue  of  stationery. 
Statement  of  charges. 

Requisition  for  fuel  and  bedding  (for  field  use). 
Requisition  for  clothing  (in  bulk). 
Requisition  for  clotliing  (in  bulk)  (extra  sheet). 
Requisition  for  forage  (book).i 
Requisition  for  special  substitution  forage. 
Ration  return  (book). 
Memorandum  re?eipt. 
Ollicial  leiegranis  (book,  largo  and  small). 


1  For  general  hospitals  or  other  independent  commands  only. 


MANUAL  FOR    MEDICAL  DEPARTMENT,   U.    S.   ARMY.  331 

964.  ORDNANCE  DEPARTMENT. 

Ordnance  Department  blank  forms   are  obtained  on  requisition 
forwarded  direct  to  the  Chief  of  Ordnance. 


Form 

No. 


18 

18- 

cover 

18a 

19 

86 

94 

145 

151 

152 

386 

1467 

1715 

1719 

1S79 


Purpose. 


Return  for  organizations  for  wliich  tlie  unit  accountability  system  is  not  prescribed. 
fFoT  returns  for  wliich  forms  numbered  18  arc  used. 
Return,  individual  officer's  horse  equipment. 
C-ertiflcate  of  expenditures,  material. 
Statement  of  charges  on  pay  roll. 
Monthly  report  of  ordnance  charges  on  pay  rolls. 

Combination  blank  for  issue  of  ordnance  property  (for  invoice  or  receipt). 
Transfer  of  ordnance  property.    (Thin  paper  in  pads  of  30  sheets  each.)  i 
In\'oice  and  receipt  tor  transfer  of  ordnance  property  under  Army  Regulations. 
Requisition  for  ordnance  and  ordnance  stores. 
List  of  blanks,  pamphlets,  etc.2 

Equipment,  Cavalry  model  of  1912:  Description  and  directions  for  use  and  care  01.2 
Equipments,  horse,  and  equipments  for  ofhcers  and  enli-sted  men.2 
Piice  list  of  small  arms,  personal  equipment  of  soldier,  etc. 2 


1  Used  only  in  time  of  war  and  will  not  ordinarily  be  supplied  except  for  such  use. 
« Issued  to  organizations  only. 

965.  INSPECTOR  GENERAL'S  DEPARTMENT. 

Requisitions  for  these  blanks  should  be  forwarded  direct  to  the 
Inspector  General  of  the  Army. 


Form 
No. 


Purpose. 


Inventory  and  inspection  report. 

Inventory,  and  inspection  report,  inside  sheets  for. 


ARTICLE  XXn.— VETERINARY  SUPPLY  TABLES, 
966.     MEDICINES,  ANTISEPTICS,  AND  DISINFECTANTS. 


Article. 


Allowance  for  one  year  for  public 
animals. 


Veterinary  hos- 
pitals. 


Post, 
100. 


Camp, 

500. 


Base, 
1,000. 


Field  service  wth 
troops. 


100 


500 


Acetanilidum,  SO-graLn  tablets,  100  in  Ijottlc bottles. . 

Atidum  boricum,  powdered,  1  pound  in  bottle do 

Acirlum  salicylicum,  3  ounces  in  bottle do 

Acidum  tannieum,  powdered,  3  oimces  in  bottle do 

Adrenalin chlorid,  l-mgm,  tablets,  20 in  tube tubes.. 

Aether,  A  pound  in  tin tins.. 

Alcohol,"5  gallons  in  bottle bottles. . 

Aloe,  powdered,  2  ounces  in  bottle do 

Alumen,  60-gTain  ta)>lets,  100 in  bottle do 

Ammonii  carbonas,  lumps,  §  pound  in  bottle do 

Ammonii  chloridum,  GO-frain  tablets,  W)  in  bottle do 

Apomorphinae  bydrocliloridum,  f^pgrain  hypodermic"  talilets, 

10  in  tube tubes. . 

Aqua  ammoniae^  10  per  cent,  1  pound  in  bottle bottles.. 

Aqua  hydrogenii  dioxidi,  1  pound  in  bottle do 

Aiecolinae  hydrobroniidum,  l-graia  hypodermic  tablets,  10  in 

tube tubes . . 

Argenti  nitras  f  usus,  1  ounce  in  bottle hot  ties. . 

Camphora,  powder,  A  poimdin  bottle do 

Cantbaridis,  powdered,  I  ounce  in  bottle do 

Carboligni  (charcoal),  powdered,  J  pound  in  bottle do 

Chloraxene,  500  tablets  in  bottle do 

Cliloroformura,  |  pound  in  tin t  ins . . 

Chloralum  hydratum,  1  pound  in  bottle bottles. . 

Cocainae  hydrochloridum,  2-graiQ  hypodernuc  tablets,  10  in 

tube tulx-s . . 

Cupri  sulphas,  J  pound  in  hot  tie bottles. . 

Ferri  sulphas  cxsiccatus,  2  pounds  in  bottle do 

Fluidextractum  eannal  is,  U.  S.  P.,  J  pound  in  bottle do 

Fluidextractum  digitalis,  J  pound  in  Dottle do 

Fluidextractum  gentianac,  1  pound  in  bottle do 

Fluidextractum  nucis  vomicae,  1  pound  in  bottle do 

Glycerinura,  1  pound  in  bottle do 

Hydrargyri  chloridum  corrosivum  tablets  (antiseptic),  (par.  902; 

250  in  bottle bottles . . 

Hydrargyri  chloridum  mite,30-graiu  tablets,  100  in  bottle  -  .do 

Hydrargyri  iodidumrubrum,l  pound  in  bottle do  — 

lodum,  4  ounces  in  bottle do 

lodofornmm,  J  pound  in  bottle do 

Liquor  cresoUs  compositus,  5  gallons  in  tin tins . . 

llagnesii  sulphas,  100-pound  keg kegs . . 

Mallein,  as  recjuired vials . . 

Morphiuae  sulphas,  3-grain  hypodermic  tablets,  10 in  tube  .tubes. . 
Normal  saline  solution  tablets  (par.  902),  100 in  bottle. .  .bottles. . 

Oleum  gossypii  seminis,  1  gallon  in  tin tins.. 

Oleum  lini,  ^  gallon  in  tin do 

Oleimi  terebinthiuae  recliflcatum,  1-quart  bottle bottles. . 

Petrolatum,  3  pounds  in  tin tins* . 

Phenol,  i  pound  in  bottle bottles. . 

Physosligminao  salicylas,  1-grain  hypodermic  tablets,  10  in  tube, 

tubes. . 

Pilocarpinae  hydrochloridum,  1-grain  hypodermic  tablets,  10  in 

tube tubes . . 

Pilulao  aloini  comp.  (equine  purg.),  12  capsules  in  package  (par. 

902) packages. . 

Plumbi  acetas,  2  pounds  in  boti  Ic bol  ties . . 

Potassii  arsenis  tablets,  3i  grains,  100 in  bottle do  — 

Potassiiiodidum,  1  pound  in  bottle do 

Potassii  nitras,  60-grain  tablets,  100  in  bottle do 

Potassii  iiermanganus,  60-prain  tablets,  100  in  bottle do 

Sapo  mollis  (green  soap),  1  pound  in  jar jars.. 

Serum  aniitetanic,  veterinary,  as  required c.  c.. 


332 


MANUAL  FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY.  333 

Medicines,  anliscpdcs,  and  disinfectants — Continued. 


Article. 


Sotlii  bicarbonas,  1  pound  in  bottle bottles. 

Spiritus  actheris  nilrosi,  1  pound  in  bottle do... 

Spiritus  ammoniae  aromaticus,  1  pound  in  bottle do... 

Strychninae  sulphas,  *-grain  hypodermic  tablets,  10  in  tube, 

tubes . 

Sulphocarbolate  eomp.,  30-grain  tablets,  100  in  bottle  (par.  902), 

bottles . 

Sulphur,  lotum,  1  pound  in  package packages. 

Tar,  pine,  1  pound  in  tin tins. 

Tinctura  ferri  ehloridi,  1  pound  in  bottle bottles. 

Tinctura  opii,  1  poimd  in  bottle do. . . 

Tinctura  stramonii,  i  pound  in  bottle do. . . 

Vaccine,  anthrax  (double  vaccination),  as  required c.  c. 

Vaccine,  prophylactic,  strangles,  as  required do. . . 

Zinci  chloridurn,  i  pound  in  bottle bottles. 

Zinci  oxiduin,  i  poimd  in  bottle do. . . 

Zinci  sulphas,  1  pound  in  bottle do... 

Zingiber,  pulvis,  1  pound  in  carton cartons. 


Allowance  for  one  year  for  public 
animals. 


Vcterinar  J'  hos- 
pitals. 


Post, 
100. 


Camp, 
500. 


Base, 
1,000. 


Field  service  with 
troops. 


500 


1,000 


40 


(0.  M.  M.  D.  No.  4.) 


967. 


STATIONERY. 


Article. 


Allowance  for  one  year  for  public 
animals. 


Veterinary  hos  - 
pitals. 


Post,  Camp, 
100.      500. 


Base, 
1,000. 


Field  service  with 
troops. 


500 


1,000 


Boohs,  note,  manifolding,  4  by  6  inches,  binders number. . 

Books,  note,  maiiifolding,  4  by  6  inches,  fillers do  — 

Envelopes,  oflicial,  letter do  — 

Erasers,  rubber,  pencil do  — 

Ink,  black,  powder  or  tablets  (sufficient  in  box  for  1  quart  of 

fluid) boxes.. 

Labels  for  vials gross . . 

Labels,  poisoa do — 

Pads,  prescriotion dozen. . 

Paper,  blotting,  small  pieces  for  hand  blotters pieces . 

Paper,  carbon, letter,  100  sheets  In  box boxes. , 

Paper,  writing, letter,  100  sheets  in  pad pads. 

Paper,  \\Titmg,  note,  100  sheets  in  pad do  — 

Paste,  photograph,  in  tube,  with  brush tubes . 

Pencils,  indelible number . 

Pencils,  lead do. . . 

Penholders do . . . 

Pens,  steel do. . . 


1 

6 

100 

2 

1 
1 

2 

18 

1 

12 
24 
4 

4 
12 

4 
36 


2 

12 

200 

3 


1 

6 

100 

1 


2 
12 

200 
2 

2 
1 
1 
3 

36 
1 
9 

18 
3 
3 

24 
8 

72 


(C.  M.  M.  D.  No.  4.) 


334  MANUAL  FOE,   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

968.  MISCELLANEOUS   SUPPLIES. 


Article. 


Allowance  for  one  year  for  public 
animals. 


Veterinary  hos- 
pitals. 


Post, 
100. 


Camp, 
500. 


Base 
1,000. 


Field  service\rith 
troops. 


500 


1,000 


Bandages,  Canton  flannel,  3  yards  by  4  inches dozen. 

Bandages,  roller,  muslin,  3  j'ards  by  4  inches do. . . 

Basins,  granite,  1-q  uart,  round number. 

B'lsins,  granite,  S-quart.  round do. . . 

Basins,  granite,  4-QiMri,  round do. . . 

Blankets,  horse do... 

Boilers, instruw cnt ,  H.D.fig.  1641,  Winches do... 

Boxes,  ointment.  imper\'ious,  2  ounces dozen. 

Boxes,  ointment,  impervious,  4  ounces do. . . 

Boxes,  pack  mule,  empty number . 

Brushes,  hand,  fiber do . . . 

Buckets,  galvanized  iron do. . . 

Cases,  dental,  in  roll  (par.  969) do. . . 

Cases,  farrier's  (par.  970) do . . . 

Cases,  general  operating,  veterinary  (par.  971) do . . . 

Cases,  'hoof  (par.  972) do. . . 

Cases,  hypodermic  tablets,  with  12  vials  filled  as  follows: 

1  Apomorphine  hydrochlor.,  1/10  grain. 
3    Arecoline,  1  grain. 

2  Cocaine  hydrochlor.,  2  grains. 
1    Glonoin,  1/10  grain. 

5    Strychnine  sulp.,  ^  grain number,. 

Cases,  pocket,  veterinary  (par.  974) do. . . 

Cases,  post-mortem,  veterinary  (par.  975) do... 

Cases,  rectal  pump  (par.  976) do... 

Cases,  ther mo-cautery,  ether  (par.  977) do. . , 

Catheters,  liorse,  rubber,  size  JVo.  SO  A  mer do . . . 

Catheters,  mare,  metal do. . . 

Clippers,  horse,  hand do . . . 

Clippers,  machine do . . . 

Clippers,  machiae,  blades  for do. . . 

Clippers,  machine,  heads  for do . . . 

Corks,  long  taper,  size  No.  3 dozen. 

Corks,  long  taper,  size  No.  4 do . . . 

Corks,  long  taper,  size  No.  6 do. . . 

Corks,  long  taper,  size  No.  7 do . . . 

Corkscrews,  field,  folding number. 

Cotton,  absorbent,  in  rolls pounds. 

Dental  floats,  straight,  screxo  driver  end  on  handle number. 

Dental  floats,  universal  file  blades  for .do. . . 

Dental  floats,  universal  rasp  blades  for do . . . 

Desks,  field.  No.  2  (par.  941) do . . . 

Disinfcctors,  spray,  hand do. . . 

Disinfectors,  spray,  pump,  on  skids do. . . 

Funnels,  enameled,  2-50  c.c ■. do. . . 

Gauze,  plain,  bleached  (50  yards) bolts. 

Gloves,  rubber,  sj-^cs  8^  and  9 pairs. 

Gowns,  operating,  post,  standard number. 

Graduates,  glass,  10c.  c do... 

Graduates,  glass,  100  c.  c do . . . 

Graduates,  glass,  500  c.  c do . . . 

Guns,  balling do . . . 

Harness,  casting,  ^inch  rope do . . . 

Hoods,  operating,  horse do. . . 

Lamps,  spirit , glass do . . . 

Lanterns,  complete do . . . 

Lanterns,  extra  globes  for,  white,  as  requii-ed do — 

Lanterns,  wicks  for,  as  required do . . . 

Medicine  droppers dozen . 

Mortars  and  pestlns,  Wedgwood,  8  c.  m , number . 

Mortars  and  pestles,  Wedgwood,  20  c.  m do. . . 

Needles,  surgical,  assorted papers. 

Oakum,  surgical,  1  pound pounds. 

Ophthalmoscope number. 

l^iU  tiles,  10  by  10  inches : do. . . 

Plaster,  adhesive,  z.  c,  5  yards  by  2J  inches spools. 

Pots,  watering number. 

Pus  basins do. . . 

Razors do.. . 

Razor,  strops  for do... 

Saddle  baas,  veterinarian's do. . . 

Scales  and  wdjhts,  Troemer's do. . . 


(') 
(') 


1 
1 
1 

1 
1 
1 

C^) 


50 
50 
2 
2 
2 
100 
1 


tl 


(') 

(') 

1 

1 

1 

1 

1 

4 

I 

12 

2 

10 

10 

10 

10 

2 

100 

5 

18 

18 

1 

2 

1 

1 

6 

4 

3 

1 

1 

1 

3 

2 

1 

2 

6 


(•-) 


1 


(2) 


^-) 


50 


(1) 
0) 


(.-; 


» One  for  each  veterinary  officer. 


2  One  for  each  veterinary  oflicer  in  field. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  335 

Miscellaiuous  suppUes — Continu-.^d. 


Article. 


Allowance  for  oitc  year  for  public 
animals. 


Veterinary  hos- 
pitals. 


Post, 
100. 


Slings,  sv.sper,ding do 

Soap,  Ivory cases . . 

Spatulas,  4-inch uurabcr. . 

Spatulas,  10-inch ao  ... 

SiDoQges,  animal,  large pounds . . 

Stethoscope,  double number. . 

Stoves,  coal  oil,  blue  flame,  one  burner do. . . . 

Stoves,  coal  oil,  blue  flame,  wic!:s  for "°xv,- 

Sutures,  linen,  sterilized,  18  inches  each,  2  sizes  (Nos.  16  and  20) 
in  package packages.. 

Sutures,  silk,  braided,  sizes  4,  8,  12,  16,  20 spools. . 

Sutures,  tape,  sterilized,  18  inches  each,  2  pieces  in  package, 
packages. . 

Syringes,  hypodermic,  Quitman,  5  c.  c,  in  canvas  case  (par.  973), 
number . . 

Syringes,  hvpodermic,  Quitman,  5  c.  c,  extra  needles  for,  as 
requrred.." number.. 

Syringes,  hypodermic,  Quitman,  5  c.  c,  extra  wires  for,  as  re- 
quired...."  bundles.. 

Syringes,  metal,  dose,  1  oz.,  i  oz.,  4  oz.,  with  6-inch  pipes  for,  -2  si:es 
\^inch  and  ^inch)  of  each number. . 

Table,  equine  operating -do 

Tags,  shipping,  wired,  100  in  box boxes. . 

Thermometers,  clinical,  veterinary number. . 

Tourniqti^ts  and  bandages,  rubber,  Esmarch do 

Towels,  hand dozen.. 

Trays,  instrument,  W.  E.,  PP-inch  by  6-inch number.. 

Tube,  stomach do 

Tube,  stomach,  reed  cleaning  stylets  for y- ' 

Tubing,  rubber,  J-inch yards. . 

Vials,  2-ounce . . .'. dozen. . 

Vials,  4-ounce d" 

Vials,  8-ounce do 

Vials,  16-ounce do 

Vials,  33-ounce do 


Camp, 
500. 


Base, 
1,000. 


Field  service  with 
troops. 


100      500    1,000 


2 
100 
1 
3 
4 
2 


Note  1  —  V  number  of  medicines  have  already  been  purchased  in  powder  form  and  v-Jijl  be  issued  until 
exhausted  for  post ,  camp,  and  remount  use.    Medicines  in  tablet  form  will  be  issued  for  f  eid  use. 

"  Note  2.— These  tables  represent  the  allowances  of  supplies  for  one  year  for  the  number  of  animals  at  the 
head  of  each  column.  It  is  not  intended  that  the  whole  list  should  be  asked  for.  Each  officer  should  make 
Feniisition  for  the  articles  he  actually  needs  and  the  medicines  he  habitual  y  prescribes.  Requisitions  for 
articles  not  listed  m  the  supply  table  must  receive  special  authority  in  each  instance. 

(C.M.M.D.No.4-) 

CONTENTS    OF  VETERINARY  CASES. 

969.  CASE,  DENTAL,   VETERINARY. 

CIn  canvas  roll.) 


Balling  iron,  standard  pattern number. . 

Dental  drill,  standard  pattern do 

Dental  float,  combination  handle,  with  straight 
■and  angular  piece,  screwdriver  end  on  han- 
dle   number . . 

Denial  "float,'  straight,  screwdriver  end  on 
handle number.. 

Dental  floats,  universal  file  blades  for,  to  fit 
standard  floats number  . 

Dental  floats,  universal  rasp  blades,  rasp  both 
sides,  to  fit  standard  floats number . . 

File  and  rasp,  IG-inch,  McPherson's . .  .do 

Forceps,  wolf-tooth,  IS-inch  duck-Ull  pat- 
tern  number.. 

Handles,  universal,  forged  steel,  with  black 
ivood  grips  to  fit  standard  cutters  and  retrac- 
tors  Pau-s . . 


Molar  cutter,  multiple  lever,  wide-open 
jaws,  and  shanks  to  fit  standard  handles 
_ num  ber . . 

Molar  extractor,  half-open  jaws do 

ISose  twitch, humane, standard  pattern.. do — 

Punch,  dental,  baiionct  shape do 

Root  extractor,  lonq,  narrow  jaws,  ami  shanks 

to  fit  standard  handles number . . 

Speculum,.  McPherson's,  forged  steel,  with 

one  pair  rubber  cushion  plates  and  one  pair 

incisor  plates  fitted  with  heavy  leather  straps 

number. 

Tooih-'trimme'r',' small,  closed,  drop  jaw,  and 

shanks  to  fit  standard  handles number. 

Trephine,  double  end,  i-inch  by  1-inch.. do... 


{C.  M,  M.  D.  No.  4-) 


336 


MANUAL  FOR   MEDICAL   DEPARTMENT^   U.    S.   AEMY. 


970. 


WALLET,   FARRIER'S. 

(Leather.) 


In  cover,  in-fidc.  ! 

Chloraliun  hydratum,  0  balls  in  paraffined  paper  tube tubes. .  1 

In  pouch. 

Alcohol,  1  pint,  m  tin tins.  .1  1 

Bandages,  muslin,  roller,  compressed,  5  yards  by  3  inches number . .  10 

Cotton,  absorbent,  compressed,  1  ounce,  in  package packages..  5 

Hydrargyi-i  chloridum  corrosivum  tablets,  25  in  hard-rubber  tube tubes . .  1 

lodum-potassii-iodidum,  10  ampules,  in  carton cartons. .  1 

Sutui'es,  assorted,  and  3  needles,  surgical,  in  box boxes. .  1 

Flap. 

Forceps,  dissecting number. .  1 

Hoof  knife do....  1 

Scalpel do 1 

Scissors,  dressing do 1 

Thermometers,  clinical,  veterinary,  in  case do 2 


(a  M.  M.  D.,  No.  <?.) 


971. 


CASE,    GENERAL   OPERATING,   VETERINARY. 

(In  canvas  case.) 


Bistoury,    curved,     probe     pointed,     S-inch 

numbsr.. 

Bistoury,    curved,    sharp    pointed,    2-inch 

niunber.. 

Ecrascur,  automatic,  quick  release do 

Emasculator,  Dr.  WJdte do 

Forceps,  bone-cutting,  Biston,  9-inch . .  .do 

Forceps,  dressing  aridbullet,  10-inch do 

Forceps,  demostatic,  Jones's,  6-^-inch . .  .do 

Force pSfdemostatic,  P can's,  straight,  10-inch 

number . . 

Forceps,  mouse-tooth,  Scinch do 

Forceps,  needle,  Mathieu,  7^-inch do 

Forceps,  thumb,  6-inch do 

Grooveddirector,  nickel-plated,  B^inch. . .  do 

Head  mirror,  Sl-inch,  with  ^inch  opening 

" num^ber . . 

Head  mirror,  headband  for do 

Needles,  seton,  jointed,  10-inch,  with  sharp 

poi  Ht  and  e'le number . . 

Needles,  surgical,  assorted dozen . . 

Needles,  surgical,  metal  case  for number . . 

Nose  twitch,  humane do. . . 

Neurotomy  hooks do. . . 

Probe,  fleiible.jointed,  10-inch do. . . 

Retractors,    Packers,    double    end,    nested 

number . 

Retractors,  Fritch do. . . 


Scalpels,  3  sizes,    S-inch,    ll-inch,    l^inch 

number. . 

Scissors,  Lacroiz,  fistula,  10-inch do 

Scissors,  straight,  Scinch,  1  point  sharp,  1 

blunt number . . 

Scoop,  fistula,  6-inch do 

Speculum,  eye,  large do 

Speculum,  nasal, fenestrated do 

Sutures,  silk,  heavy  twisted cards. . 

Syringe,    antitoxin,    metal,    slip  joint,    A- 

ounce number.. 

Syringe,    antitoxin,    metal,    slip  joint,    1- 

011  nee number . 

Syringe,  antitoxin,  slip  Joint,  needles  for 

num  ber . . 

Syringe,  antitoxin,  case  for  needles do 

Syringe,  hypohermic,  6  c.  c,  Quitman,  .do 

Syringe,  hypodermic,  5  c.   c,   Quitman, 

needles  for number . . 

Syringe,  hypodermic,  Quitman,  case  for  extra 

needles number . . 

Tenaculum do — 

Tenotomes do — 

Tracheotomy  tribe,  2  sizes do 

Trephine,   Gait,   1-inch,  wUh  metal  handle 

number.. 

Trocar,  Fash,  reversible do 


(C.  M.  M.  D.,  No.  4.) 


972. 


CASE,   HOOF. 

(In  canvas  case.) 


Groover,  hoof,  Hughes's  pittcrn number. .  1 

Knife,  horseshoer's,  small  size,  bone  handle, 
left number..  1 


Knives,  horseshoer's,  small  size,  bone  handle, 
right number. . 

Tester,  hoof,  standard  pattern,  small  size 
: number . . 


(C.  M.  M.  D.,  No.  4.) 


973. 


CASE,  HYPODERMIC   SYRINGE,   VETERINARY. 

(In  canvas  case.) 


Syringe,  hypodermic,  5  c.  c,  Quitman,  hollow 
plunger number . . 


Syringe,   hypodermic,   5  c.   C,   Quitman, 
needles  for number . . 


(a  M.  M.  D.  No.  4.) 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY.  337 


974. 


WALLET,   VETERINARY   OFFICER'S. 

(Leather.) 


Book,  note,  manifolding,  binder number. 

Book,  nolo,  nianifolding,  filler '■  ■  -^O-  -  - 

Case,  hypodermic  tablets,  veterinary j°' " " 

Case ,  p'oclut ,  surgical do... 

Contents  of  pocket  case: 

Caustic  holder 5°" ' 

Curette ^o. . . 

Forceps,  hemostatic a'" 

Forceps,  hemostatic,  Hopkins  type do. . . 

Hoof  gouge a'" 

Knife,  folding,  with  one  probe-pointed  bistoury  and  one  scalpel do... 

Knife /folding ,  with  one  sharp-pointed  bistoury  and  one  scalpel do. . . 

Needles,  surgical,  in  paraffin  envelope,  6  in  package packages. 

Probe,  10-inch number. 

Scissors,  dressing do. . . 

Sutures,  silk,  braided.  No.  14,  on  spool spools. 

Syringe,  hypodermic,  10  c.  c,  with  extra  tube  of  needles number. 


{C.  M.  M.  D.,  No.  8.) 


975. 


CASE,  POST-MORTEM,   VETERINARY. 

(In  canvas  roll.) 


Chisels,  steel,  8-inch number. 

Cleavers,  butchers'  heavy do. . . 

Forceps,  dressing,  straight,  lU-inch,  with  catch. 
number 

Knives,  butcher's,  wood  handle do. 

Mallei,  rawhide,  heavy  wood  handle do. 


Saw,  bone,  butcher's  heavy number 

Scalpels, heavy,  2-inch  blade do.. 

Scissors,     large,     straight,     blunt,    61-inch 

number 

Steel do. . , 


{C.  M.  M.  D.,  No.  4.) 


976. 


CAfeE,   RECTAL  PUMP. 

(In  fiber  telescope  case.) 


Nozzle,  rectal  pump,  polished  wood,  .number. . 
Pump,  rectal,  double  action do 


Tubing,  heavy  wall,  maroon,  |-inch  outside 
diameter,  J-inch  wall feet. . 


(C.  M.  M.  D.,  No.  4.) 


977. 


CASE,   THERMO-CATJTERY,   ETHER. 

(In  wooden  case.) 


Ther  mo-cautery ,  ether number. 

Thermo-cautery ,  ether,  lamp  for do. . . 


1  I    Thermo-cautery,  ether,  tips  for number. 

1  I    Thermo-cautery, ether, wrench  for do... 


{C.  M.  M.  D.,  No.  4.) 

70156°— IS 22 


APPENDIX. 


In  the  following  pages  aji  attempt  is  made  to  fui:nisli  medical 
officers  a  reference  to  such  general  orders,  circulars,  bulletins,  etc.,  as 
contain  information  constantly  needed  in  Medical  Department  admin- 
istration. The  list  is  not  complete,  and  medical  officers  are  advised 
to  make  such  additions  thereto  in  their  own  copies  of  the  Manual  as 
they  may  find  useful.  To  get  the  best  results  from  the  list  medical 
officers  should  post  necessary  changes  therein  from  time  to  time  as 
orders,  bulletins,  etc.,  are  received.  With  that  procedure  in  view 
citation  by  number  of  any  particular  order  is  made  as  a  rule  but  once, 
cross  references  under  the  various  subject  titles  indicating  where  its 
text  may  be  found. 

Administration  and  Supply: 

See  Mobile  Army. 
Ambulance  Companies: 

See  Sanitary  Units. 
Ambulance  Service: 

Organization,  G.  O.  75,  124,  149,  1917. 
American  Expeditionary  Forces: 

Mail,  telegrams,  codes,  Bui.  44,  Bui.  46,  Bui.  52,  1917;  Bui.  15,  1918. 
Baggage  Allowance,  see  Officers'  Baggage. 

Equipment  of  enlisted  men.  Sec.  VII,  G.  O.  144,  1917;  G.  O.  23,  1918. 
Information  forbidden,  G.  O.  21,  1918. 
Officers  to  report  to  commanding  general,  G.  O.  83,  1917. 
Postal  cards  to  relatives  at  time  of  embarkation,  Bui.  62,  1917. 
Applicants  for  Enlistment: 

English  language,  testa  to  determine  knowledge  of,  G.  O.  37,  1910. 

Enlistments  to  be  made  by  medical  officers,  when  available,  G.  O.  162,  1906. . 

General  qualifications  required,  Cir.  2,  Adjutant  General's  Office,  1916. 

Identification  records  of,  see  Identification  Records. 

Information  to  be  imparted  to,  Cii-.  2,  Adjutant  General's  Office,  1915. 

Physical  qualifications  of,  see  Physical  Examinations. 

Reenlistment  after  dishonorable  discharge,  par.  173,'  C.  of  0. 

See  also  Recruits.  339 


340  MANUAL   FOE    MEDICAL  DEPARTMENT,   U.    S.   AEMY. 

Army: 

Appropriation  act  1918,  Bill.  30,  1917. 

Enlisted  strength,  G.  O.  50,  1916;  G.  O.  67,  1916. 

Mobile:  See  Mobile  Anny. 

National  defense  act,  Bui.  16,  1916;  Bui.  18,  1917;  Bui.  32,  1917. 

Reserve,  regulations  for  the  Regular  Ai-my  Reserve;  hospital  treatment  of  those 
arriving  at  home  ports  on  transports,  Bui.  8,  1916.  Loss  of  pay,  par.  229,  C.  of 
O.;  Bui.  34,  1916. 

Army  Field  Serrice  and  Correspondence  School  for  Medical  Officers: 

See  Medical  Officers. 
Army  Nurse  Corps: 

Bm-ial  of  deceased  nurses,  decision  of  Judge  Advocate  General,  Bui.  50,  1914. 
Articles  of  War: 

Bui.  32,  1916. 
Artificial  Respiration: 

See  First  Aid. 
Baggage,  Officers': 

See  0[llcers'  Baggage. 
Bedding  Rolls: 

See  Officers'  Equipment. 
Beef,  Inspection  of: 

See  Subsistence  Stores. 

Blank  Forms: 

Adjutant  General's  Department,  List  of  Blank  Forms,  Adjutant  General's  Office. 
Quartermaster  Corps,  Appendix,  Manual  for  the  Quartermaster  Corps. 
War  Department,  par.  131,  C.  of  0. 

Books  and  Manuals: 

Destruction  of,  by  organization  commanders,  par.  191,  C.  of  O. 

For  sale  or  issue  by  the  War  Department,  list  of,  Bui.  12,  1916;  Bui.  16,  1917;  par. 
1881,  C.  of  O. 

Bucket  and  Basin: 

See  Officers'  Equipment. 

Bulletins: 

See  Orders,  Bulletins,  and  Changes. 

Cablegrams: 

A.  E.  F.,  see  American  Expeditionary  Forces. 


MANUAL   FOR   MEDICAL   DEPARTMEXT;   U.    S.   ARMY.  341 

Cadet  CandidatiBs: 

Physical  examination  of,  see  Physical  Examinations. 
Campaign  Badges: 

Extra  allowance  of  bars  and  ribbons  for,  Cir.  82,  1908. 

May  be  turned  in  when  unserviceable,  par.  71,  C.  of  O. 

Mexican  service  badge,  Sec.  IV,  G.  O.  155,  1917. 

Of  deceased  soldiers,  see  Deceased  Enlisted  Men. 

To  whom  issued,  ^jars.  66,  68,  69,  C.  of  O.,  Cir.  27,  1907.     Wounds  since  April  6, 
1917,  G.  O.  6,  1918 

Camps: 

See  Cantonments. 
Candidates  for  Commission: 

Physical  examination  of,  see  PJiysical  Examinations. 
Cantonments: 

Xames  and  Location,  G.  O.  95,  120,  1917. 
Cavalry  Seat: 

Definition  of,  G.  0.  29,  1911. 
Certificate  of  Merit: 

Badge  to  be  issued  for  each  certificate,  par.  66,  C.  of  O. 
Changes: 

See  Orders,  Bulletins,  and  Changes. 
Civilian  Employees: 

Activity  in  politics  prohibited,  par.  16.3,  1916  supp.  C.  of  0. 

Army  field  clerks,  equipment  of.  Sec.  VIII,  G.  O.  144,  1917. 

Compensation  act,  for  those  injured,  par.  167,  C.  of  O.,  and  Cir.  E,  War  Depart- 
ment,  April  23,  1912;  Bui.  45,  1916. 

Death  of,  action  to  be  taken  by  senior  medical  officer  present,  par.  78,  C.  of  O. 
Report  of,  under  "Compensation  act,"  par.  167,  C.  of  O. 

Entitled  to  time  in  which  to  vote  at  congressional  elections,  par,  162,  C.  of  O. 

Issue  of  fuel  in  kind  to,  Bui.  43,  1914. 

Leaves  of  absence,  Cir.  H,  War  Department,  May  10,  1917. 

Leaving  United  States,  must  have  passports,  G.  O.  76,  1917. 

Medical  and  hospital  treatment,  Bui.  49,  54,  1917. 

Ration  allowance  in  military  hospitals,  Bui.  8,  1916. 

Ration  returns  of,  G.  O.  121,  1902. 


342  MAXUAL  FOR   MEDICAL  DEPARTME^^T,   U.    S.    ARMY. 

Civilian  Physicians: 

Attending  ofTicers  or  enlisted  men  on  garrisoned  posts,  par.  79,  C.  of  O. 

Clothing  and  Equipment: 

Badges  and  medals,  see  Badges. 

'^Clothing  order,"  allowance  in  kind,  G.  0.  89,  97,  1917;  G.  O.  11,  1918;  articles 
issued  witliout  charge,  money  allowance,  prices  charged  when  lost,  etc.,  sizes 
of  clothing,  and  allowance  of  tableware  and  kitchen  utensils,  G.  O.  17,  1916; 
43,  1916;  33,  1917.  Cotton  O.  D.  shirts,  G.  0.  85,  1917;  S.  R.  40,  1917;  G.  O. 
119  and  125,  1917. 

Deserter's,  disposition  of,  par.  248,  C.  of  O. 

Field  kits  and  surplus  kits,  par.  320,  C.  of  O. 

Identification  tags,  see  "Clothing  order";  also  Uniform  Regulations.  Also  Sec. 
IV,  G.  O.  80,  1917,  par.  491,  A.  R. 

Gratuitous  issue  of,  when  destroyed  to  prevent  contagion,  Cir.  20,  1899. 

Olive-drab  cotton  cloth,  directions  for  laundering,  Cir.  59,  1910. 

Overcoats,  see  "  Clothing  order. " 

Record  of  sizes  to  be  kept  by  detachment  commanders,  Uniform  Regulations. 

Shoes,  neat's-foot  oil  for,  Cir.  72,  1907. 

Sweaters,  issue  and  use  of,  see  "Clothing  order." 

^Tien  ordered  overseas,  G.  0. 206, 1910;  G.  0. 144, 1917;  G.  0. 23, 1918;  Bui.  2, 1918. 
Clothing  Order: 

See  under  Clothing  and  Equivment. 
Clothing  RoUs: 

See  Officers'  Equijyment. 
Confidential  Documents: 

Responsibility  of  officers  for,  par.  176,  C.  of  O. 
Continuous  Serrice: 

See  Enlisted  Men. 
Contract  Surgeons: 

Entitled  to  admission  to  Government  Hospital  for  Insane,  Cir.  56,  1906. 

Forage  for  horses  of,  Cir.  61,  1902. 

Quarters  of,  Cir.  32,  1905. 
Cooks,  Hospital  Corps: 

See  Hospital  Corps. 
Correspondence: 

See  Records  and  Correspondence. 


MANUAL   FOB    MEDICAL    DEPARTMENT,   U.    S.    ARMY.  343 

Deaths: 

Of  civilian  employees,  see  Civilian  Employees. 

Of  enlisted  men,  see  Deceased  Enlisted  Men. 

Of  officers,  see  Deceased  Officers. 
Death  Sentence: 

Sec.  I,  G.  O.  7,  1918. 
Deceased  Enlisted  Men: 

Action  to  be  taken  by  senior  medical  officer  present,  par.  78,  C.  of  0. 

Campaign  badges,  part  of  the  efiects  of,  par.  67,  C.  of  0. 
Deceased  Officers: 

Action  to  be  taken  by  senior  medical  officer  present,  par.  78,  C.  of  0. 
Dental  Corps: 

Reorganization  of,  under  N.  D.  act,  Bui.  16,  1916. 
Dental  Surgeons: 

Acting,  not  officers  of  Army,  Bui.  5,  1915. 

How  carried  on  the  rolls,  par.  276,  C.  of  0. 

Quarters  of,  Cir.  32,  1905. 

Relative  rank,  Bui.  34,  1916. 
Dentists'  Assistants: 

See  Hospital  Corps. 
Departments: 

Geographical  boundaries  of,  G.  0.  51,  1917. 
Descriptive  Lists: 

See  Records  and  Correspondence. 
Discharge  of  Enlisted  Men: 

At  isolated  stations  where  there  is  no  commanding  officer,  par.  47,  C.  of  0. 

By  favor,  illegal,  par.  48,  C.  of  0. 

By  purchase,  par.  48,  C.  of  O. 

Circumstances  under  which  boards  should  be  convened,  Cir.  18,  1900. 

Discharge  may  be  signed  by  staff  officers  of  field  rank,  Bui.  52,  1914. 

Dishonorable,  suspended,  to  be  dropped  from  rolls,  par.  54,  1916  Supp.  C.  of  O. 

For  inaptitude  or  bad  habits,  par.  50,  C.  of  0. 

On  surgeon's  certificate,  Army  Regulations;  G.  O.  174,  1909,  as   modified  by 
G.  O.  191,  1909,  Cir.  62,  1909,  G.  O.  11,  1912,  G.  O.  69,  1913,  G.  O.  82,  1914. 


344  MAXUAL   FOR    MEDICAL   DEPAETMEXT,   U.    S.   ARMY. 

Discharge  of  Enlisted  Men — Continued. 

Porto  Rico  Infantry  and  Philippine  Scouts,  G.  O.  174,  1909  does  not  apply,  Cir. 
62,  1909. 

When  one  dependent  parent  has  died  since  enlistment,  par.  48, 1916  Supp.  C.  of  O. 

Without  honor,  when  caused  by  venereal  disease,  G.  0.  185,  1905;  Cir. ^93,  190S. 
Efficiency  Records: 

See  Officers. 
Embarkation  Serrice: 
Enlisted  Men: 

Clothing  of,  see  Clothing  and  Equipment. 

Commutation  of  rations,  par.  230^,  1916  Supp.  C.  of  0. 

Competition  with  civilians  prohibited.  Sec.  II,  G.  O.  31,  1916. 

Continuous  serAdce,   accomplished  only  by  actual  reenlistment  within  three 
months,  not  by  application,  Cir.  3,  1908. 

Credit  at  post  laundries,  see  Laundries. 

Death  of,  see  Deceased  Enlisted  Men. 

Debts  of,  policy  of  War  Department,  par.  40,  C.  of  0. 

Dependent  families,  G.  O.  47,  1916. 

Discharge  of,  see  Discharge  of  Enlisted  Men. 

Identification  of,  see  Identification  Records. 

Indebtedness  to  U.  S.,  par.  232,  1916  Supp.  C.  of  O.;  Bui.  18,  1916. 

Insane,  see  Insane. 

Medical  Enlisted  Reserve  Corps,  transfer  of  to  N.  A.,  G.  O.  142,  1917. 

Line  of  duty,  see  Line  of  Duty. 

Pay,  trips  into  Mexico,  Bui.  18,  1916. 

Pay,  loss  of  for  "misconduct,"  Bui.  18,  1915. 

Muster  of  those  in  hospital,  G.  O.  49,  1917. 

Vay  of,  when  held  after  expiration  of  enlistment,  Cir.  53,  1902. 

Physical  examinations  of,  see  Physical  Examinations. 

Transferred  from  one  arm  to  another,  cost  of,  par.  37,  C.  of  O. 

Travel  allowances  of,  on  discharge.  Sec.  Ill,  G.  O.  11,  1916;  Bui.  18,  1916 

Wagoners,  authorized  as  chauffeurs,  etc.,  G.  O.  150^  1917. 

Enlistment  Papers: 

See  Records  and  Correspondence. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.    ARMY.  345 

Equipment: 

"A,"  "B,"  and  "0,"  G.  O.  So,  1914.     ^fothod  of  accounting,  G.  0.  58, 102,  1917. 

Of  enlisted  men,  see  Clothing  and  Equipment. 

Of  the  Hospital  Corps,  see  Hospital  Corps,  and  Clothing  and  Equipment. 

Of  ofRcers,  see  Officers'  Equipment. 

Tables,  Quartermaster  Supplies,  see  Quartermaster  Supplies. 
Espionage: 

Act  of  June  15,  1917,  Bui.  43,  1917. 
Examinations: 

For  promotion  of  officers,  see  Officers. 

Physical,  see  Physical  Examinations. 
Feet: 

Care  of,  S.  R.  No.  28. 

See  also  The  Soldier's  Foot  and  the  Military  Shoe,  MuHson. 
Field  Glasses: 

See  Officers'  Equipment. 
Field  Hospitals: 

See  Sanitary  Units. 
Field  Service: 

See  Mobile  Army. 
Field  Training: 

See  Mobile  Army. 
Field  Trains: 

Loading  tables,  G.  O.  8,  1915. 
Fire  Extinguishers: 

To  be  recharged  annually,  par.  204,  C.  of  O. 
First  Aid: 

Artificial  respiration,  Schaefer,  Bui.  37,  1914. 
First-Aid  Packets: 

Description  of,  G.  0.  84,  1906. 

Issue  and  use  of,  par.  321,  C.  of  O. 

Fuel: 

Issue  and  allowances  of,  at  military  posts,  par.  210,  C.  of  0. 

Zones  of  equal  temperature,  G.  O.  57,  1914,  par.  210,  C.  of  O.  and  1916  supp. 
Hawaiian  Department,  par.  210,  C.  of  O. 


346  MAXUAL   FOR   MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

Funds: 

Use  of,  for  otlier  purposes  than  those  for  wliicli  appropriated,  par.  147,  C.  of  O. 
General  Hospitals: 

Supplies  for,  see  Supplies. 
Gifts: 

To  superiors  forbidden,  par.  3,  C.  of  0. 
Hague  Conventions: 

See  lied  Cross. 
Hearing: 

Method  of  testing,  see  Vision  and  Hearing. 
Horse  Equipment: 

Hospital  Corps,  care  of,  see  Hospital  Corps. 

Officers,  see  Officers^  Horse  Equipment. 
Hospital  Corps: 

Clotliing,  see  Clothing  and  Equipment. 

Dentists'  assistants,  par.  276,  C.  of  O. 

Destined  for  the  Philippine  Islands,  equipment  to  be  taken,  par.  278,  C.  of  0. 

Equipment  of,  see  Clothing  and  Equipment,  and  Manual  for  the  Medical  Depart- 
ment. 

Horses  and  horse  equipment  for  their  use  will  be  cared  for  by  them,  par.  282,  C. 
of  O. 

Instruction  in  equitation,  par.  280,  0.  of  O, 

Members  of,  proficient  in  identification  work,  G.  O.  8,  1910. 

Pay  of,  under  N.  D.  act,  Bui.  18,  1916. 

Quartermaster  property  transferred  with,  see  Quartermaster  Supplies. 

Transfer  to  or  from  the  line,  is  for  the  convenience  of  the  Government,  Cir.  81, 
1909;  G.  O.  30,  1913. 

Hospital  fund: 

Retained  statement  of,  to  constitute  council  book  requii-ed  by  Army  Regula- 
tions, par.  113,  C.  of  O.^ 

Extra  pay  to  cooks  prohibited,  Bui.  47,  1916. 
Hospitals: 

Base,  at  cantonments,  Sec.  II,  G.  O.  133,  1917. 
Ice: 

Issue  of,  G.  0.  117,  1904. 


MANUAL   FOR   MEDICAL  DEPARTMENT,   U.    S'.    ARMi'.  347 

Identification  Records: 

As  testimony,  Cir.  11, 1909;  par.  200,  0.  of  0.  and  1916  Supp. 

In  the  Philippine  Islands,  G.  O.  119,  1909. 

Instructions  for  the  Preparation  of  Identification  Record  Cards,  pamphlet. 

Members  of  Hospital  Coi-ps,  proficient  in,  see  Hospital  Corps,  par.  4,  S.  O.  G3, 

1916. 

Identification  Tags: 

See  Clothing  and  Equipment. 
Insane: 

Scheme  for  examination  of,  Cir.  12,  Surgeon  General's  Office,  1913, 

These  entitled  to  enter  the  Government  Hospital  for,  Cir.  11,  1909. 

See  also  Officers,  and  Contract  Surgeons. 
Kitchen  Cars: 

Employment  of,  G.  O.  218,  1909. 

Fuel  for  cooking,  G.  0.  34,  1910. 

Installation  of  field  range,  Bui.  25,  1916. 

Ration  to  be  issued  for  use  on,  G.  0.  56,  1910. 
Letters  and  Indoisements: 

See  Records  and  Correspondence. 
light: 

Allowance  of,  to  different  buildings,  par.  212,  C.  of  O. 
Line  of  Duty: 

Decisions  of  Judge  Advocate  General,  Buls.  9,  14,  26,  1915;  Buls.  26,  72,  1917. 
Loa'ding  Tables: 

See  Field  Trains. 
Mail: 

For  A.  E.  F.,  See  American  Expeditionary  Forces. 
Medals: 

See  Campaign  Badges. 

Medical  Corps: 

Physical  requirements  for  candidates  for  appointment  in,  see  Physical  Exam- 
inations. 

Medical  Officers: 

Army  Field  Service  and  Correspondence  School  for,  G.  O.  128,  1911.     See  Offi- 
cers; also  Medical  Corps. 


348  MANUAL   FOR    MEDICAL   DEPAKTMEXT^   U.    S.   ARMY. 

Medical  Enlistetl  Reserve  Corps: 

See  Enlisted  Men. 
Medical  Reserve  Corps: 

Annual  test  ride,  see  Officers. 

Longevity  pay,  Bui.  -84,  1917. 

Officers,  Regular  Army  or  National  Guard,  not  eligible,  Bui.  9,  1917. 

Recommission  in  Officers'  Reserve  Corps,  G.  O.  32,  1916, 

Status  of  officers  of,  on  first  joining,  Cir.  13,  1909. 

Uniforms  required,  G.  O.  21,  1917. 

See  also  Officers. 
Militia,  Organized: 

See  Organized  Militia. 
Mobile  Army: 

Administration  and  supply  in  time  of  war,  G.  O.  35,  1913. 

Equipment  "A,"  "B,"  and  "C,''*see  Equipment. 

Field  training  and  practice  marches,  par.  85,  C.  of  O. 

National  Guard  troops,  S.  R.  25. 

Regiments,  brigades,  and  divisions,  how  numbered,  G.  0.  115,  1917. 

Quartermaster  supplies  for,  see  Quartermaster  Supplies. 

Sanitary  Regulations  for  field,  S.  R.  28. 

Staffs  of  commanding  generals  of,  G.  O.  30,  37,  1913. 
.  Organization  of,  G.  O.  101,  1917. 

Training  of,  par.  85,  C.  of  O.     National  Guard  troops,  G.  O.  36,  1916. 

See  also  Field  Service  Regulations;  Army  Regulations;  Tables  of  Organization; 
Manual  for  the  Medical  Department, 

Morning  Reports: 

See  Records  and  Correspondence. 
Mosquitoes: 

Mineral  oil  for  destruction  of,  Ci-r.  23,  1901. 
Motor  Vehicles: 

Gasoline  and  repairs  for,  par.  134J,  1916  Supp.  C.  of  0. 

Care  of.  Sec.  X,  G,  O.  139,  1917. 
Mounts,  Private: 

See  Private  Mounts. 


MANUAL  FOR-  MEDICAL  DEPAETME*Nr,  U.    S.   AEMY.  349 

Muster  Rolls: 

See  Records  and  Correspondrnce. 
National  Guard  in  Federal  Service: 

Dependent  relatives,  Bui.  20,  1916. 

Instruction  and  training,  see  Mobile  Army. 

Longe-\aty  pay,  G.  O.  54,  1916. 
National  Red  Cross  Society: 

See  Red  Cross. 
OflScers: 

Annual  physical  examinations  of,  see  Physical  Examinatiom. 

Annual  test  ride  of,  par.  22,  C.  of  0.,  and  1916  Supp. 

May  use  flat  saddle,  par.  317,  C.  of  O. 

Arrival  in  the  United  States,  date  determined  by  date  of  dockage  of  the  transport, 
par.  17,  C.  of  O. 

Baggage  of,  see  Officers'  Baggage. 

Death  of,  see  Deceased  Officers. 

Efficiency  records  of,  par.  195,  C.  of  O. 

Examination  for  promotion,  par.  8,  C.  of  O.,  under  N.  D.  act,  Bui.  16, 1916,  G.  O. 
38,  1916. 

Families  of,  on  Army  transports,  S.  K.  71. 

Foreign  armies;  expenses  of,  reimbursements  for,  Bui.  68,  1917;  Bui.  12,  1918. 

Holding  office  under  Philippine  Government,  par.  2,  C.  of  O. 

Insane,  accounts  of,  Cir.  54,  1902. 

Ordered  to  Government  Hospital  do  not  receive  mileage,  Oir.  29,  1903. 

Leave  of  absence  from  the  Philippine  Islands,  G.  O.  48,  1907. 

Leaving  U.  S.,  must  have  order  in  their  possession,  G.  O.  76,  1917. 

Medical  Reserve  Corps,  see  Medical  Reserve  Gorps. 

Messes,  clubs,  etc.,  par.  206,  C.  of  O. 

Officers'  Reserve  Corps,  see  Officers'  Reserve  Corps. 

Oversea  travel,  meals  on  ti'ansports,  reimbursement  for,  G.  O.  86,  1911. 

Pay  accounts  of,  must  cover  whole  of  salary  for  one  or  more  calendar  months,  G.  O. 
62,  1901.  (See,  Lowever,  Quarters,  Commutation  of,  and  Private  Mounts,  Addi- 
tional Pay  for.) 

Pay,  when  on  trips  into  jVIexico,  Bui.  18,  1910. 

Personal  effects,  transportation  of,  for  student  officers,  Bui.  4,  1916. 


350  MANUAL  FOR  MEDICAL   DEPAETMENT,   U.    S.   ARMY. 

Officers — Continued. 

Photo  for  Adjutant  General's  Office,  Bui.  .36,  1917. 

Physical  examinations  of,  see  rhysical  Examinations. 

Precedence,  different  branches,  G.  O.  144,  1917. 

Private  moimts  of,  see  Private  Mounts. 

Private  property  of,  shipped  on  Government  l)ill  of  lading,  par.  240,  C.  of  O..  Bui. 
54,  1917. 

Rationed  in  the  field,  par.  228^,  1916  Supp.  C.  of  O. 

Special  passports  for  field  officers  only,  Cir.  67,  1905. 

Statement  of  preferences  and  other  sources  of  information  for  Secretary  of  'War, 
par.  12,  C.  of  O. 

To  report  to  Commanding  General,  Western  Department,  on  arri-\-al  in  San 
Francisco  en  route  to  or  from  the  Philippine  Islands,  par.  20,  C.  of  O.;  Sec.  IV, 
G.  0.  25,  1915. 

Traveling  on  expense  account,  Bui.  36,  1917. 

Use  of  outside  influence,  G.  0.  18,  1902;  par.  11,  C.  of  O. 

War  tax  on  railroad  tickets,  Bui.  66,  1917. 

When  requiring  use  of  transports  must  apply  for  transportation  immediately  upon 
receipt  of  order,  par.  18,  C.  of  O. 

Officers'  Baggage: 

Allowance  of,  on  railroads  when  destined  overseas,  Bui.  26,  1914. 

American  Expeditionary  Forces,  Sec.  VI,  G.  O.  144,  1917;  G.  O.  25,  39,  191S. 

Articles  that  may  be  taken  within  50-pound  limit,  see  Field  Trains;  Loading 
Tables. 

Excess  of,  on  change  of  station,  Buls.  13,  18,  1916. 

Field  allowance,  transportation  of,  Bui.  47,  1916. 

How  packed  for  transportation  in  the  field,  G.  O.  201,  1905;  Cir.  42,  1906. 

Loading  tables,  see  Field  Trains. 

Loss  or  damage  of,  Bui.  47,  1916. 

Officers'  Equipment: 

Bedding  rolls  for  sale  to  officers,  par.  318,  C.  of  0. 

Canvas  bucket  and  basin  for  sale  to  officers,  G.  0.  136,  1911. 

Clothing  rolls  for  sale  to  officers,  Cir.  3,  1910. 

Dispatch  cases,  G.  O.  7,  1917. 

Field  glasses  may  be  purchased  from  the  Signal  Corps,  G.  O.  178,  1910. 

Identification  tags,  see  Clothing  and  Equipment. 

Issue  of,  on  memo-receipt,  Buls.  52,  64,  1917'. 


MANUAL   FOR   MEDICAL   DEPARTMENT,   U.    S.   ARMY.  351 

OflBcers'  Equipment — Continued. 

Horse  equipment,  see  Officers^  Horse  Equipment. 
'Russet  leather,  care  of,  see  Ordnance  Property, 

Sleeping  bags,  G.  O.  11,  1912. 

Trunk  locker  suitable  for,  see  Officers^  Baggage, 
Officers'  Horse  Equipment: 

Classification  of,  see  Ordnance  Property. 

Included  in  personal  baggage,  Cir.  47,  1909. 

Set  of,  what  constitutes,  G.  O.  24,  1914. 

To  be  issued  by  post  ordnance  officers,  G.  O.  25,  1912;  G.  0.  72,  1913. 
Officers'  Private  Mounts: 

See  Private  Mounts. 
Officers'  Reserve  Corps: 

Fuel  and  light,  Bui.  54,  1917. 

S.  R.  43,  1917. 
Olive-drab  Cotton  Cloth: 

Directions  for  laundering,  see  Clothing  and  Equipment. 
Orders,  Bulletins,  and  Changes: 

Extracts,  pertaining  to  company  and  regimental  administration,  Bui.  53,  1917. 

Issue  and  preservation  of,  G.  O.  231,  1910;  par.  186,  C.  of  O. 

Special  Regulations,  Bui.  24,  1917. 
Ordnance  Property: 

Accountability  for,  instructions  concerning,  Bui.  21,  1916. 

Charged  on  muster  and  pay  rolls,  pars.  681-A  to  681-N,  A.  R. 

Classification  of,  Cir.  14,  1908;  Cir.  90,  1909. 

Disposition  of,  on  survey,  etc.,  G.  O.  9,  1918. 

Reports  of  survey  on,  Cir.  92,  1908. 

Requisitions  for,  Cir.  87,  1907;  Cir.  16,  1910;  G.  O.  15,  1912;  G.  O.  58,  1916. 

Russet  leather,  care  of,  Cir.  23,  1910;  Bui.  10,  1912. 

Saddle  blankets,  care  of,  par.  323,  C.  of  0. 

See  also  Ordnance  Property  Regulations. 
Organized  Militia: 

Acts  to  promote  the  efficiency  of,  G.  0.  54,  1914. 

Ambulance  companies,  minimum  strength  of,  G.  O.  51, 1914. 

Expenses  of  inspecting  officers,  Bui.  16,  1916,  p.  57. 


352  MANUAL  FOR   MEDICAL  DEPARTMENT,  U.    S.   ARMY. 

Organized  Militia — Continued. 

Field  hospitals,  minimum  strength  of,  G.  0.  51,  1914. 

Medical  officers,  course  of  instruction  for,  Sec.  11,  G.  0.  43,  1915;  G.  O.  9,  1916. 

See  also  "War  Department  Regulations  for  the  Organized  MiUtia. 
Orthopedic  Work  in  Camps: 

Regulations  for,  G.  0.  133,  1917. 
Pack  Outfit,  M.  D.: 

Directions  for  use  of,  Bui.  50,  1916. 
Paratyphoid  Fever: 

Diagnosis  and  study  of,  Cir.  11,  Surgeon  General's  Office,  1913. 

Prophylaxis  of,  see  Typhoid  Prophylaxis 
Passports  for  Officers* 

See  Officers. 
Paymasters'  Clerks: 

Have  the  same  status  as  officers  and  are  entitled  to  medical  attention  and  medi- 
cine, G.  O.  143,  1911. 

Pension  Examiners: 

Permitted  to  make  investigations  in  military  hospitals,  par.  77,  C.  of  O. 
Physical  Examinations: 

Applicants  for  enlistment. 

In  the  Regular  Army  (Rules  for  the  Examination  of  Recruits),  G.  O.  68 
1910;  Cir.  2,  Adjutant  General's  Office,  1916. 

In  the  Porto  Rico  Regiment,  Cir.  39,  1906, 

Teeth  of,  requirements  concerning,  Cir.  60, '1906. 

Visual  requirements,  Cir.  26,  1909. 

See  also  Recruits. 
Army  Field  Clerks,  G.  O.  52,  1916. 

Aviation  service,  pars.  309,  310,  C.  of  O.;  G.  0.  38,  1916. 
Cadet  candidates,  Cir.  Adjutant  General's  Office,  July  25,  1917. 
Candidates  for  commission  in  the  United  States  Army. 

Cavalry,  Field  Artillery,  Coast  Artillery,  and  Infantry,  pars.  6, 10,  17,  S.  R.  1. 

Engineers,  S.  R.  2. 

Medical  Corps,  visual  requirements,  G.  O.  112,  1911. 

Officers'  Reserve  Corps,  Sec  VI,  G.  O.  32,  1916. 

Philippine  Scouts,  S.  R.  4. 

Porto  Rivo  Regiment,  G.  O.  193,  1908. 


MANUAL   FOR    MEDICAL    DEPARTMENT^   U.    S.   ARMY.  353 

Physical  Examinations — Continued. 

Candidates  for  commission  in  the  Volunteers,  par.  10,  C.  of  O. 

Officers : 

Annual,  G.  O.  148,  1910,  as  amended. 

For  Mounted  Service  School,  S.  R.  13. 

For  promotion,  see  Officers,  Examination  of,  for  Promotion. 

Physical  defects  to  be  reported  in  detail,  G.  O.  104,  1903. 

Post  noncommissioned  staff  officers,  par.  28,  C.  of  O.,  and  1916  Supp. 

Recruits  at  depots  and  posts,  G.  O.  154,  1905;  Cir.  15,  1907. 

Student  candidates  for  military  instruction  camps,  Bui.  23,  1915. 

Venereal  inspections,  see  Venereal  Diseases,  Prevention  of. 

Vision,  color  sense  and  hearing,  methods  of  testing,  G.  0.  199,  1906. 

Physicians,  Civilian : 

See  Civilian  Physicians. 

Porto  Eico  Regiment: 

Physical  requirements  for,  see  Physical  Examinations. 

Post  Exchange: 

Regulations  for,  S.  R.  59. 

Responsibility  of  Council,  Opinion  Judge  Advocate  General,  Bui.  9,  1915. 

Responsibility  of  physical  examining  ofhcer,  Opinion  Judge  Advocate  General, 
Bui.  18,  191G. 

Post  Noncommissioned  Staff: 

See  Enlisted  Men;  also  Physical  Examinations. 
Private  Mounts: 

Additional  pay  for,  where  pay  accounts  are  prepared  in  advance,  G.  O.  35,  1915; 
while  on  leave  of  absence  with  half  pay,  Bui.  1,  1916. 

Certificate  to  be  furnished  when  shipped,  par.  200,  C.  of  O. 

Additional,  when  shipped  to  Philippine  Islands,  Bui.  2,  1915. 

Descriptive  card  to  accompany,  when  shipped,  par.  261,  C.  of  0. 

Disposition  of  when  ordered  overseas,  Bui,  67,  1917. 

Duties  of  commanding  officers  regarding,  par.  223,  C.  of  O.,  and  1916  Supp. 

Loss  of,  in  military  service,  Bui.  84,  1917. 

Must  be  maintained  at  officer's  station,  Cir.  69,  1909. 

Must  be  used  in  annual  test  rides,  par.  24,  C.  of  O. 
7015G°— LS 23 


354  MAXUAL   FOR    MEDICAL  DEPARTMENT,   U.    S.   ARMY. 

Private  Mounts — Continued. 

Must  meet  spocifii/atiuiis  or  uo  forage  or  additional  pay  can  be  drawn,  i>ar.  222, 
C.  of  O.,  and  1916  Supp. 

Regulations  concerning,  for  period  of  war,  G.  O.  113,  1917. 

Salt  and  vinegar  for,  Cir.  33,  1909. 

Six  months  allowed  for  training,  par.  225,  C.  of  0. 

Specifications  for,  par.  224,  C.  of  0.,  and  1916  Supp. 

Staldiug  for,  rent  of,  par.  207,  C.  of  O.,  and  1916  Supp. 

Stallions  as  mounts,  Cir.  78,  1910;  G.  0.  9,  1916. 

Transportation  of,  for  officers  attending  service  schools,  Bui.  4,  1916. 
Property: 

Of  retired  soldiers  who  die  in  Army  hospitals,  Bui.  46,  1914. 

Retained  papers,  disposition  of,  see  Records  and  Correspondence. 

Unit  accountability  for,  see  Equipment. 

See  also  Ordnance  Properly  and  Quartermaster  Supplies. 
Public  Animals: 

Average  prices,  1917,  Sec.  TIT,  Bui.  44,  1917. 

Horses,  altering  shape  of  mane  or  tail  prohibited,  G.  O.  112,  1903. 

Mallein  test,  Cii-.  74,  1909. 

Records  to  be  kept,  G.  O.  252,  1909;  Cir.  54,  1909;  Bui.  19,  1913;  par.  257,  C.  of  O. 
Public  Health  Service: 

Hospitals,  available  for  war  purposes,  Bui.  21,  1917. 
Quartermaster  Corps: 

Duties  of  the  several  grades  of  enlisted  men,  G.  O.  40,  1912. 

Quartermaster  Supplies: 

Equipment  tables,  Q.  M.  Supplies,  1915,  G.  O.  39,  1915.     Title  authorized,  Bui. 
35,  1915.     March  kit,  G.  O.  13,  1916.     Additions  to,  G.  O.  72,  1916. 

Loading  tables,  see  Field  Trains. 

I-oan  of,  prohibited,  Bui.  32,  1913. 

Method  of  marking  and  packing,  par.  241,  C.  of  O. 

Ovens,  field,  S.  R.  64. 

Pyramidal  tent,  method  of  folding,  Bui.  9,  1913. 

Tableware  and  kitchen  utensils,  see  Clothing  and  Equi pment. 

Tentage,  metal  parts,  disposition  of,  G.  0.  119,  1917. 

Transferred  with  enlisted  men,  par.  6S1-0,  A.  R. 


MANUAL    FOR    MEDICAL    DEPARTMENT^    U.    S.    ARMY.  355 

Quarters: 

Commutation  of,  for  commissioned  officers,  aclinj,'  dental  surgeons,  pay  clerks, 
Nurse  Corps,  par.  230,  C.  of  O.,  and  1916  Supp. 

Field  duty  during  war,  Bui.  35,  1917. 

^\^lere  accounts  are  prepared  in  advance,  G.  0.  35,  1915. 

Rental  of,  par.  207,  C.  of  O.,  and  1916  Supp. 

See  al«o  Enlisted  Men,  Contract  Surgeons,  and  Dental  Surgeons. 
Rabies: 

Treatment  of  suspected  cases,  Cir.  9,  Surgeon  General's  Office,  1912. 
RaOroads: 

Inferior  equipment,  Cir.  47,  1907. 

Isitchen  cars,  see  Kitchen  Cars. 

Land  grant  and  bond  aided,  G.  0.  41,  1907,  as  amended. 
Rations: 

Soliciting  funds  to  augment,  proliibited,  Bui.  23,  1916. 

See  Subsistence  Stores. 
Records  and  Correspondence: 

American  Expeditionary  Forces,  see  American  Expeditionary  Forces. 

Communications  sent  direct  to  The  Adjutant  General,  par.  188,  C.  of  0.,  and 
1916  Supp. 

Correspondence  book  system  of  correspondence,  G.  O.  1,09,  1906;  Bui.  4,  1914. 
Decimal  system  of  filing,  G.  O.  121,  1917, 

Descriptive  lists  to  be  accompanied  by  authenticated  copies  of  summary  court 
trials  and  official  Copies  of  sentence  by  other  courts,  G.  O.  137,  1909. 

Disposition  of  useless  records,  Bui.  8,  1916. 

Enlistment  papers  of  those  who  have  been  dishonorably  discharged  from  a  pre- 
vious enlistment,  par.  173,  C.  of  0. 

Letters  and  indorsements,  par.  174,  C.  of  O.;  briefs  prohibited,  par.  174,  C.  of  O. 
not  to  be  addressed  through  The  Adjutant  General,  Cir.  8,  1909. 

Militia  Bureau,  G.  O.  119,  1917. 

Morning  reports,  G.  O.  194,  1909. 

Muster  rolls,  corrections  of,  to  be  sent  direct  to  The  Adjutant  General,  par.  ISO, 
C.  of  O.;  separate  roll  required  for  each  company  of  the  Coast  Artillery  Corps, 
Cir.  3,  1903.     Instructions,  S.  R.  58. 

Penalty  envelope,  not  to  be  used  to  pay  commissary  bills,  par.  198,  1916  Supp. 
C.  of  O. 

Pay  rolls,  lustructionp,  S.  R.  58. 


356  MANUAL   FOR    MEDICAL   DEPAETMENT^   U.    S.   AEMY. 

Records  and  Correspondence — Continued. 

Retained  property  and  money  accounts,  disposition  of,  par.  152,  C.  of  O.,  and 
1916  Supp. 

Telegraph,  instructions  for  use  of,  par.  252,  0.  of  0. 

Typewriters,  use  of,  in  preparing,  par.  194,  C.  of  O. 
Recruit  Depots: 

Supplies  for,  see  Supplies. 
Recruits: 

Disinfection  of  clothing  of,  Cir.  37.  1906, 

Duties  of  boards  of  officers  ■when  convened  at  depots  and  posts,  Cir.  15,  1907. 

See  also  Applicants  for  Enlistment. 

Red  Cross: 

Geneva  Convention  of  1906,  and  Hague  Convention  of  1907,  Bui.  6,  1913;  also 
Rules  of  Land  Warfare. 

National  Red  Cross  Society,  regulations  for  and  organization  of  when  employed 
with  the  land  forces  of  the  United  States,  G.  0.  170,  1911;  S.  R.  61,  1917. 

Russet  Leather: 

Care  of,  see  Ordnance  Property. 
Saddle  Blankets: 

Care  of,  see  Ordnance  Property. 
Salvarsan: 

Method  of  administration,  Cir.  14,  S.  G.  0.,  1914. 
Sanitary  Corps: 

Organization  of,  G.  O.  80,  1917,  Sec.  Ill,  G.  0.  113,  1917. 

Sanitary  Units: 

Field  hospitals  and  ambulance  companies,  how  numbered,  G.  O.  142,  1917; 
G.  O.  155,  1917. 

History  of  ser\"icos  to  be  kept,  par.  84,  C.  of  O. 
Shoes: 

See  Clothing  and  Equipment 
Special  Regulations: 

See  Orders,  Bulletins,  and  Changes. 
Stables: 

Fires  in,  par.  211,  C.  of  O. 


MANUAL   FOR   MEDICAL   DEPARTMENT^   U.    S.   ARMY.  357 

State  Department: 

Medical  officers  to  examine  certain  candidates  for  appointment  in,  par.  274,  C. 
ofO. 

Steam  Heating  Plants: 

Care  of,  Cir.  ] ,  1902. 
Subsistence  Stores: 

Beef,  fresh,  instructions  for  inspection  of,  G.  O.  27,  190-1;  G.  O.  28,  1906. 

Charged  against  enlisted  men,  Cir.  79,  1907. 

Rations,  savings  not  allowed  at  maneuver  camps,  par.  255,  C.  of  O. 
Supplies: 

For  general  hospitals  and  recruit  depots,  G.  O.  11,  1912. 

See  also  Mobile  Army,  Quartermaster  Supplies,  and  Ordnance  Property. 
Surgical  Operations: 

Refusal  to  submit  to,  par.  220,  M.  M.  D.;  par.  53,  C.  of  0.,  G.  O.  29,  1918. 
Surplus  Kits: 

See  Clothing  and  Equipment. 
Tableware  and  Kitchen  Utensils: 

See  "Clothing  order"  under  Clothing  and  Equipment. 
Telegrams: 

See  Records  and  Correspondence. 
Transports: 

Liquors  not  allowed  on,  G.  O.  Ill,  1911. 

Meals  on,  reimbm-sement  for,  see  Officers. 

Surgeons  to  go  on  board  with  fii'st  troops,  S.  R.  71. 

See  also  S.  R.  71,  Army  Transport  Service. 
Typhoid  Fever  and  Paratyphoid  Fever: 

Diagnosis  of,  Cii-.  11,  Surgeon  General's  Office,  1913. 

Typhoid  Prophylaxis: 

Instructions  for  administration  and  keeping  records  of,  Cir.  16,  Surgeon  General's 
Office,  1916. 

Paratyphoid,  G.  O.  68,  1917;  G.  O.  93,  1917. 

To  whom  administered  and  records  to  be  kept,  S.  R.  28. 

Typhus  Fever: 

Diagnosis  and  prevention  of,  Bui.  10,  1916. 


358  MANUAL  FOR   MEDICAL   DEPARTMENT,    U.    S,    ARMY. 

Uniform: 

Discriminations  against,  Bill.  18,  1917. 
Unit  Accountability: 

See  Equipvient. 
Vaccination: 

Antiparatyphoid,  see  Typhoid  Prophylarh. 

Antismallpox,  G.  O.  30,  1914;  method  prescribed,  Bui.  30,  1914. 

Antit}T)hoid,  see  Typhoid  Prophylaxis. 

Venereal  Disease: 

Discharge  without  honor  because  of,  see  Discharge  of  Enlisted  Men. 

Loss  of  pay  because  of,  par.  229,  C.  of  O.;  decision  regarding  meaning  of  word 
"misconduct,''  Bui.  43,  1914;  when  suspected  only,  Bui.  15,  1917. 

Prevention  of,  S.  R.  28. 

Veterinary  Corps,  National  Army: 

Organization  of,  G.  O.  130,  1917. 
Veterinary  Officers: 

Age  for  appointment,  Eul.  49,  1917. 

Auxiliary  remount  depots  and  animal  embarkation  depots,  G.  O.  131,  1917; 
G.  O.  22,  1918. 

Vision  and  Hearing: 

See  Physical  Examinations. 
Visual  Acuity: 

Medical  reports  on,  Cir.  5,  1908. 
Volunteer  Forces: 

Act  concerning,  Bui.  17,  1914. 

Physical  examination  of  candidates  for  commission  in,  Boe Physical Examiiwtions. 
War  Risk  Insurance: 

Act  authorizing,  Bui.  57,  1917. 


INDEX. 

(Numbers  refer  to  paragraphs.) 


Abandonment  of  Posts: 

Disposition  of  medical  property  on,  511. 

Records  and  reports,  425. 
Abbreviations: 

Field  supply  tables,  862. 

Register  of  dental  patients,  465. 
Accountability: 

Appliances  issued  to  discharged  patients,  229. 

Army  Medical  School,  property,  141. 

Articles  destroyed  to  prevent  contagion,  230. 

Hospital  fund,  252,  253,  260,  262. 

Medical  property,  229,  380,  501  to  503. 

Proceeds  of  sales  of  medical  property,  509,  510. 

Public  property  brought  in  by  patients,  227,  304. 

Retiu-ns  of  property,  141,  380,  497,  501,  508. 
Accounts: 

Hospital  laundry,  271,  272,  274,  277,  278. 

Ice,  264. 

Mess,  234,  236,  237. 

Proceeds  of  sales  of  medicines  to  civilians,  243. 

Proceeds  of  sales  of  other  medical  property,  509, 
510. 

Subsistence  charges,  etc..  Army  and  Navy  Gen- 
eral Hospital,  330,  331. 

Subsistence  charges,  etc..  Fort  Bayard,  339  to  342. 

Supplies  purchased,  377,  476. 

To  be  paid  by  disbursing  ofBcers,  377. 
Acetylene  Chest: 

Contents  of,  927. 

Acting  Cooks: 

Provisions  concerning,  37,  38. 

See  also  Hospital  Corps. 
Acting  Dental  Surgeons; 

General  provisions,  21  to  25,  ' 

See  also  Denial  Corps. 
Acting  Hospital  Stewards: 

See  Hospital  Corps. 
Administration  of  the  Sanitary  SerrlCA! 

Division,  716  to  750.    (See  also  Divisional  Sani- 
tary Service.) 

Objects  of,  530,  628. 

Rfeumd  of,  in  war,  831  to  841. 
Administrative  Zones: 

Intimcof  war,  528,  529. 

Advance  Medical  Supply  Depot: 

Issues  from,  652,  789. 

Maximum  and  minimum  limits  of  stock,  788, 

Operating  equipment,  895. 

Purpose  of,  791. 

Records,  reports,  and  returns,  563,  575, 788. 

Replenishment  of  issues,  789. 

Requisitions  from,  790. 


Advance  Medical  Supply  Depot — Continued. 

Shelter  for,  792. 

Supplies  to  be  kept  at,  7,S8,  792. 
Advance  Medical  Supply  Depot  Equipment: 

Operating  equipment,  792,  895. 

Supplies  for  issue,  788,  792. 
Advertising: 

Hospital  laimdry,  272,  273. 
Aid  Stations: 

Closing,  649,  650. 

Combination  with  dressing  station,  679. 

Defensive  engagements,  726. 

Diagnosis  tags  applied,  649. 

Duties  at,  642,  645,  647,  649,  650. 

Effects  of  patients,  649. 

Equipment  of,  how  carried,  633,  866  notes,  807, 
notes,  868. 
.    Equipment  table,  866,  867. 

Establishment  of,  642,  645,  646, 

Evacuation  of,  642,  650,  655. 

Loading  table  for  mule,  868. 

Location,  646. 

Moving,  649,  650. 

Number  to  be  opened,  645. 

Offensive  engagements,  727, 

Opening,  645,  740. 

Personnel,  647. 

Rear-gviard  actions,  730,  739. 

Shelter,  646. 

Supplies  for,  866,  867. 

Transportation  of  woundeji  to  and  from,  642,  647, 
650,  674,  079,  680. 

Treatment  at,  character  of,  649. 

With  mounted  commands,  740. 
Aid,  Voluntary: 

Medical  Department  in  the  field,  535  to  541,  819. 
Allowances,  Personal: 

Acting  dental  surgeons,  20. 

Candidates  for  Medical  Corps,  8. 

Civilian  employees,  103,  105  to  107,  117, 

Clothing,  Hospital  Corps,  47, 

Contract  surgeons,  53,  54. 

Dental  surgeons,  20. 

Hospital  matrons,  205  to  269. 

Hospital  stewards,  33. 

Medical  Corps,  2. 

Medical  Reserve  Corps,  8, 14. 

Militia  medical  officers  at  Army  Medical  School, 
145. 

Nurse  Corps,  50,  SO  to  91,  96. 
Ambulance  Box  of  Food: 

Contents  of,  947. 
Ambulance  Box  of  Surgical  Dressings: 

Contents  of,  9&1. 

359 


360 


INDEX. 


Ambulance  Companies,  Peace  Organization: 

CerlifiCLites  ol  proflciency  for  men  under  instruc- 
tion, 164,  105. 

Commanding  ofRcer,  159, 160. 

Discipline,  160. 

Duties  of  permanent  personnel,  158. 

Instruction,  courses  of,  161  to  165. 

Law  authorizing,  33. 

Organization,  158. 

Personnel,  158. 
.  Records  of  class  work,  163  to  165. 

Use  of,  in  instruction  of  Hospital  Corps,  157. 

Pee  also  Hospital  Corps. 
Ambulance  Companies,  War  Organization: 

Commanding  officer,  534,  669. 

Designations,  667. 

Dressing  stations,  see  that  title. 

Duties,  general,  671  to  673. 

Duties,  in  camp,  672. 

Duties,  in  combat,  674  to  690. 

Duty,  to  furnish  supplies  during  combat,  651, 633. 

Duty,  to  guard  field  hospitals,  550 

Law  authorizing,  33. 

List  of  sick  and  wounded,  562. 

Personnel,  670. 

Kear-guard  actions,  730,  739. 

Records,  reports,  and  returns,  562,  579,  684. 

Report  after  each  engagement,  562. 

Senior  medical  officer's  title,  534. 

Station,  on  march,  637  to  641,  673,  720. 

Supply  table,  874  to  877. 

Wagons,  station  of  in  combat,  685,  728. 

With  Cavalry  divisions,  741. 

See  also  Amhulance    Company  Equipment  aod 
Dressing  Stations. 
Ambulance  Company  Directors: 

General  provisions,  652  to  65C. 

See  also  Directors  of  Ambulance  Companies. 
Ambulance  Company  Equipment: 

Articles  kept  in  store,  874. 

Articles  not  kept  in  store,  875. 

Articles  supplied  by  .camp  quartermaster,  877. 

Cubic  measurements,  as  stored,  874. 

Loading  table  for  mules,  878. 

Rail  transportation  for,  876. 

Requisitions  for,  874,  875. 

Supply  table,  874,  875. 

Vehicles,  how  mai'ked,  668. 

Weight,  as  stored,  874. 

Weight  for  pack  animals,  878. 
Ambulances: 

Markings  of,  668. 

Not  to  be  diverted  from  Medical  Department,  549. 

With  regiments  on  the  march,  637  to  640. 

See  also  Transportation. 
Ambulances,  Motor: 

For  camp  hospitals,  886. 

For  evacuation  ambulance  companies,  806. 

For  evacuation  and  base  hospitals,  891. 
American  National  Red  Cross: 

Sec  Red  Cross. 
Analysis  of  Water: 

Provisions  concerning,  356  to  360. 
Antitoxins: 

At  depots  on  line  of  communications,  891  note. 

Pureliasc  of,  843  note. 

Requisitions  for,  843  note. 


Apparatus: 

Comj)ressed  air,  903. 

Improvement  of,  medical  officers  to  suggest,  474. 

Restraint,  904. 
Appliances: 

Improvement  of,  medical  officers  to  suggest,  474. 

Issues  and  sales  to  civilians,  242,  243. 

Issues  to  discliarged  patients,  229. 

Transferred  with  patients,  228. 
Applicants  for  Enlistment: 

Examination,  i)hysical,  391. 

Identification  record,  392. 

Register  of  patients,  438. 
Appointments: 

Acting  dental  surgeons,  20  to  25. 

CivUian  employees,  103,  104,  106,  108  to  111,  113, 
114,  lis. 

Ci\'ilian  employees.  Army  and   Navy   General 
Hospital,  318. 

Contract  surgeons,  51  to  54. 

Dental  siu"geons,  26  to  31. 

Medical  Corps,  2  to  9. 

Medical  Reserve  Corps,  8,  14  to  16. 

Nurse  Corps,  56  57,  62  to  67. 

Sergeants,  first  class.  Hospital  Corps,  34  to  36. 

Sergeants,  Hospital  Corps,  34  to  36. 
Appropriations: 

"Replacing  Medical  Supplies,"  510. 
Arms: 

Guards,  sanitary  formations,  550. 

Sick  on  the  march,  640. 

Wounded  on  the  field,  649. 
Army  and  Navy  General  Hospital,  Hot  Springs, 
Ark.: 

Administration,  318. 

Admissions,  320  to  327. 

Charges  for  subsistence,  328  to  3*^2. 

Commutation  of  rations,  328. 

Discipline  of  patients,  333. 

Diseases  for  which  suitable, «319» 

Law  establishing,  317. 

Organization,  318. 

Reports  of  condition  of  patients,  287. 

Subsistence,  328  to  332. 
Army  Field  Service  and  Correspondence  School 
for  Medical  Officers: 

Provisions  concerning,  147. 
Army  Medical  Board: 

Examinations  by,  candidates  for  Medical  Corps, 
4,  6,  9. 

Law  establishing,  2. 
Army  Medical  Museum: 

General  provisions,  131,  134,  135. 

Loan  of  specimens,  135. 

Method  of  transmitting  specimens,  135. 
Army  Medical  School: 

Adjutant,  138,  140. 

Administration,  139  to  141. 

Candidates  for  Medical  Corps,  to  attend,  8,  143. 

Certificates  of  graduation,  143. 

Civilian  employees,  136. 

Commandant,  137, 138, 139. 

Course  of  instruction,  143, 144, 145, 146. 

Duiies,  136. 

Enlisted  men,  H,  C,  136, 142, 146. 

Fa.ulty,  138. 

Graduation,  143. 


INDEX. 


361 


Army  Medical  Musonm— Continued. 

Instructors,  13!>,  137. 

Medical  ofTicers  of  the  .Vrmy,  1 12,  144. 

Medical  oflicers  of  tne  Organized  Militia,  142, 145. 

Personnel,  136. 

Professors,  13G  to  138. 

Property  officer,  lU. 

Records,  140. 

Reports,  annual,  139. 

Special  professors,  136,  137. 
^rmy  Transport  Service: 

Duties  of  medical  superintendents  and  surgeons, 
381. 

Medical  superintencents,  reports  of,  424. 

Seamen  of,  in  Army  hospitals,  250. 

Surgeons,  ports  of  embarkation,  as  superintend- 
ents, 610. 
Aspirating  Case; 

Contents  of,  910. 
Attending  Surgeons: 

Assignment,  375. 

Correspondence  recora  and  document  file  system, 
402,  404. 

Duties  of,  375,  376, 
Antomoblles: 

Impressed,  for  evacuation  of  wounded,  629,  823, 
Aviation  Service: 

Physical  examinations  for,  389,  395, 
Badge: 

Nurse  Corps,  93,  97. 
Bag,  Obstetrical: 

Contents  of,  905. 
Bands: 

Assignment  to  sanitary  service,  643, 
Base  Dental  Outfit: 

Contents  of,  855. 
Base  Hospital  Equipment: 

Ambulances,  motor,  891  note. 

Blank  forms,  891  note. 

Cubic  measurement  of  medical  supplies,  891. 

Medical  supply  table,  891. 

Not  strictly  limited  to  supply  table,  859,  889. 

Quartermaster  supply  table,  892. 

Weizhts,  891,  892, 
Base  Hospitals: 

Blanks  for,  891  note. 

Closing,  763. 

Convalescent  camp  brandies,  766, 

Designation  of,  758. 

Evacuation  of,  762, 

Function  of,  702. 

General  provisions  conceming,  757  to  765, 

I-oeation  of,  759, 

Not  strictly  limited  to  supply  table,  859,  889. 

Number  to  be  established,  153,  759, 

Personnel  of,  760. 

Records  of  sick  and  wounded  at,  575, 

Regulations' for  interior  administration,  761. 

Supplies  for,  891,  892, 

Surgeon,  base  group,  to  clear  before  battle,  819. 

See  also  Base  Hospital  Eqiilpmcnt. 
Base  Medical  Supply  Depot  Equipment: 

Operating  equipment,  suggestive,  894. 

Supplies  for  issue,  872^  893, 
Base  Medical  Supply  Depots: 

Blanks,  requisitions  for,  551, 

Commanding  officer,  duties,  782, 


Base  Medical  Supply  Depots— Continued, 

Establishment  of,  782, 

General  pro\  isions  concerning,  782  to  786. 

Issues  from,  552. 

Operating  equipment,  894. 

Purchases  for,  786. 

Records,  reports,  and  returns,  563,  575,  782. 

Replenishment  of  issues,  783. 

Requisitions  for  supplies,  551,  783  to  785, 

Supplies,  maximum  and  minimum  list  of,  782, 787. 

Supplies  to  be  kept  at,  782,  801, 

See  also  Medical  Supply  Depots  and  Medical  S'lp- 
ply  Officers. 
Battle: 

See  Combat. 
Bayard,  Fort: 

See  Fort  Bayard  General  Hospital. 
Bed  Capacity: 

Amount  necessary  in  war,  152. 
Bedding: 

Care  of,  in  squad  rooms,  279. 

Care  of,  in  storerooms,  523, 

Care  of,  in  wards,  279. 

Disinfection  of,  in  wards,  279. 

Laundermg  of,  266  to  278, 

Repair  of,  266,  267, 

Use  of,  by  Hospital  Corps,  523. 
Bed  Linen: 

Disinfection  of,  279. 
Bed  Pans,  Box  of: 

Contents,  906, 
Belt,  Hospital  Corps: 

Contents  of,  907. 
Belt,  Medical  Officer's: 

Contents  of,  864, 

Instrument  case,  contents  of,  919. 

Medicine  ease,  contents  of,  920. 
Bile  Jledium: 

For  cultures,  191,  352. 
Births: 

Record  of,  on  reports  of  sick  and  wounded,  459, 

Reports  to  Director  of  Census,  401, 

Reports  to  municipal  and  State  health  authori- 
ties, 401, 
Blanlicts: 

Airing  and  care  of,  279,  523, 

Disinfection  of,  279, 

Laundering  of,  266  to  278,  523. 
Blank  Forms: 

Adjutant  General's  Department,  list  of,  962. 

Base  hospitals,  891  note, 

Division  surgeon's  emergency  supply,  885, 

Evacuation  hospitals,  891  note. 

Field  desks,  940,  941. 

Inspector  General's  Department,  list  of,  965, 

Medical  Department,  list  of,  961, 

Ordnance  Department,  list  of,  904. 

Quartermaster  Corps,  list  of,  963. 

Requisitions  for,  960  to  965. 

Requisitions  for,  in  the  theater  of  operations,  551, 
Blood: 

For  diagnostic  purposes,  191,  352. 
Boards  of  Health: 

To  be  notified  of  appearance  of  infectious  disease, 
203. 
Boards  of  Review: 

Law  establishing,  2. 


862 


INDEX. 


Bonds: 

Contracts  for  laundry  work,  276. 
Books: 

Dental,  requisitions  for,  ■iO^. 

Medical,  box  of,  90S. 

Medical,  disposition,  on  abandonment  of  posts, 
511. 

Medical,  removal  from  hospital,  513. 
Bougies: 

Preservation  of,  525. 
Boxes: 

Bed  pans,  contents  of,  906. 

Books,  contents  of,  908. 

Food,  ambulance,  contents  of,  947. 

Food,  contents  of,  948. 

Pack  mule,  description  of,  909. 

Surgical  dressings,  ambulance,  contents  of,  954. 

Surgical  dressings,  contents  of,  955. 
Boxes,  Packing: 

Field  supplies,  863. 

Water  for  analysis,  359. 
Brassards: 

Red  Cross  personnel,  536. 

Sanitary  service,  542  to  544. 
Brigades: 

Duties  of  senior  medical  officer,  663,  745. 
Buildings,  Hospital: 

Provisions  concerning,  245,  246. 

See  sdso  Hospital  Buildings. 
Cadets  and  Cadet  Candidates: 

Examinations,  physical,  3S2,  3S3. 

Subsistence  charges  at  the  Army  and  Navy  Gen 
eral  Hospital,  330. 
Camp  Hospital  Equipment: 

Ambulances,  motor,  not  included  in  .shipping 
weight,  886  note. 

Ambulances,  motor,  not  kept  in  store,  8S6  note. 

Articles  furnished  by  camp  quartermaster,  888. 

Cubic  measurements,  886. 

Field  hospital  equipment  as  a  nucleus,  604,  886. 

Not  strictly  limited  to  supply  table,  604,  859. 

Recruiting  outfit  for,  887. 

Regimental  hospital  equipment  as  a  nucleus,  604, 
886. 

Supply  table,  886. 

■Weights,  886. 
Camp  Hospitals: 

For  concentration  camps,  600. 

For  mobilization  camps,  5%. 

General  provisions,  602  to  605. 

Not  strictly  limited  to  supply  table,  859. 

Records  of  sick  andwounded,  427,  575,  583. 

Transfer  of  patients  from,  583. 
Uanip  luflrniarics: 

Assignment  of,  659. 

Command  of,  656,  6.59,  663. 

Designation  of,  661. 

Dispensary  service  for  regimental  organizations, 
63.3. 

Duty  to  furnish  supplies  in  combat,  551, 633. 

Evacuation  of,  672. 

Forage  for  animals,  660,  870  note. 

Function  of,  602. 

In  combat,  possible  use  of,  666. 

Number  allowed,  657J  658. 

Personnel  of,  659,  660. 

Property,  accountability  for,  659,  664. 


Camp  Inflrmaries— Continued. 

■Rations  for  personnel,  660. 

Service  of,  663,  665. 

Shelter  and  camp  supplies  for,  870  note. 

Station  on  the  march,  723,  724. 

With  mobilized  divisions,  658. 

AVith  regiments,  657. 
Camp  Infirmary  Equipment: 

Accountability  for,  659,  664. 

Articles  kept  in  store,  869. 

Articles  not  kept  in  store,  870. 

Camp  infirmary  reserve,  871. 

Cubic  space  occupied,  869. 

Distribution  of,  in  time  of  peace,  504  to  506. 

For  station  for  slightly  wounded,  &)6. 

Supply  table,  869,  870. 

Wagon,  how  marked,  661. 

Weight  carried  by  wagon,  873. 

Weight  of,  as  stored,  869. 
Camp  Infirmary  Reserve: 

CubiC  space  occupied,  871. 

Loading  table,  873. 

Supply  table,  871. 

AVeight  of,  871. 

When  furnished,  871. 
Camps: 

Casual,  773.    (See  also  Casual  Camps.) 

Concentration,  598  to  601.    (See  also  Concentra- 
tion Camps.) 

Convalescent,  607,  608.    (See  also    Convalescent 
Camps.) 

Hospitals  for,  596,  600,  603. 

Medical  service  of,  593  to  597,  599  to  601. 

Mobihzation,  592  to  597.    (See  also  Mohilizaiion 
Camps.) 
Camp  Surgeons: 

Concentration  camps,  599  to  601. 

Mobihzation  camps,  593  to  595,  597. 

To  report  deficiencies  in  equipment,  etc.,  S32. 
Candidates  for  Commission: 

Examinations,  physical,  384,  385. 

Medical  Corps,  2  to  9,  142,  143. 

See  also  Dew^ai  Corps,  Medical  Corps,  and  Medical 
Reserve  Corps. 
Canvas  for  Litters: 

Washing  and  replacing,  526. 
Cases,  Contents  of: 

Accessor}-,  microscopical,  950. 

Aspirating,  910. 

Dental,  post,  911. 

Ear,  nose,  and  tliroat,  912. 

Emergency,  913. 

Eye,  914. 

Forceps,  hemostatic,  915. 

General  operating,  916. 

Genito-urinary,  917. 

Gynecological,  918. 

Hemostatic  forceps,  915. 

Instrument,  medical  officer's  belt,  919. 

Medicine,  medical  officer's  bolt,  920. 

Microscopical,  acccssorj-,  950. 

Microscopical  supplies,  supplementary,  921. 

Operating,  general,  916. 

Operating,  small,  922. 

Pocket,  923. 

Post-mortem,  924. 

Small  operating,  922. 


INDEX. 


3G3 


Cases,  Contents  of— Continued.' 

Tooth-extracting,  925. 
Trial  Icnsos,  92r>. 
Casual  Camps  for  Sanitary  Troops: 
Establishment  and  function'?  of,  773. 
Line  of  communications  unit,  756. 
Relation  to  Medical  Department  organization  in 
campaign,  5S6. 
Casualties  in  Action: 

Estimate  of,  152. 
Catalogue  Index: 

Library,  Surgeon  General's  Oifice,  13L 
Catheters: 

Preservation  of,  525. 
Cautery,  Paquelin's: 

Contents  of,  957. 
Cavalry  Division: 

Sanitary  ser\ice  of,  741,  742. 
Cavities  in  Teeth: 

Classification  of,  471. 
Cerebrospinal  Meningitis: 

Report  of  appearance  of,  201. 
Certificates: 
Graduation  from  Army  Medical  School,  143.  , 
Identity,  542  to  544. 
Identity,  for  Red  Cross  personnel,  536. 
Proficiency,  Army  Medical  School,  144,  145,  146. 
Proficiency,  Hospital  Corps,  146,  164,  165,  178. 
Change  of  biagnosis  Cards: 

Provisions  con:erning,  209,  211,  212,  213. 
Chests,  Contents  of: 
Acetylene,  927. 
Commode,  928. 
Cooking  utensils,  929. 
Field  laboratory  No.  1,  930. 
Field  laboratory  No.  2,  931. 
Medical  and  surgical,  932. 
Medical  and  surgical,  supplementary,  933.  ; 
Mess,  934. 
Sterilizer,  935. 
Supplementary,  933. 
Tableware,  936. 
Tool  No.  1,  937. 
Tool  No.  2,  938. 
Chief  Nurses: 
Assistants,  315. 
Duties  of,  311. 

General  proxisions  concerning,  58  to  61. 
Law  authorizing,  56. 
Pay,  78,  79. 
Quarters,  80. 
Rations,  81. 

To  prepare  efficiency  reports,  99. 
See  also  Xurse  Corps. 
Chief  Surgeon,  Field  Army: 
Duties,  general,  828  to  830. 
Duty  to  a<;t  as  surgeon,  base  group,  when,  829. 
Equipment  of  ofHce,  901. 
Report  on  campaign,  at  conclusion  of,  561. 
Supplies  to  be  kept  on  line  of  communications, 

782,  830. 
Title,  534. 

Voluntary  aid,  individual,  may  accept,  537. 
Civilian  Employees: 
Allowan.es  of,  103,  105  to  107,  117,  289. 
Appointment  of,  103  to  106,  108  to  HI,  113,  114, 
118,  318. 


Civilian  Employees— Continued. 

Army  and  Navy  General  Uospital,  appointment 

and  disfharge,  018. 
Assignment,  103, 113. 
Changes  of  station  and  status,  118,  119. 
Classified,  102,  113,  116,  117. 
Death  of,  118,  130,  218,  219,  226,  459. 
Depot  and  office  employees,  108  to  117. 
Discharge  of,  10.5,  106,  110,  113,  115,  116,  118,  126, 

318. 
Efficiency  reports  of,  120  to  128. 
Employment  by  surgeon,  ba  ■•:■  group,  819. 
Expenses  in  changing  statio:-.,  :  17.  • 

Expenses  proceeding  to  place  of  employment, 

103. 
Hospital  employees,  104  to  107,  290,  318. 
In  general  hospitals,  290. 
Injuries  of,  130. 
Issues   and  sales   to,   of  appliances,    dressings, 

medicines,  etc.,  242  to  244. 
Latwrers,  unskilled,  103, 108  to  112. 
Labor  regulations,  108,  109,  111. 
Leaves  of  absence,  129. 
Number  allowed,  104,  110,  113. 
Pay,  103,  105,  106,  110,  113,  117. 
Post  exclianges,  medical  and  hospital  care,  346. 
Prescriptions  for,  to  be  kept  on  separate  file,  240. 
Promotion  of,  113  to  118,  125. 
Qualifications  of,  103,  104,  109,  113,  114. 
Quarters  of,  103,  107. 
Rations  of,  105,  106. 

Reduction  of,  105,  106,  110,  113,  116  to  118,  126. 
Sanitary  Sfjuads,  775. 
Subsistence,  103, 105,  106. 
Subsistence  charge  at  Fort  Bayard,  341. 
Susjwnsions,  116. 
Transfers,  113,  117, 118,  119. 
Transportation  and  expenses,  103,  117. 
Vaccination  of,  186. 
Civilian  Hospitals: 
Employment  of,  to  clear  field  hospitals  on  the 
march,  700. 
Civilian  Physicians: 
Practicing  on  military  reservations,  348,  349. 
Red  Cross,  536. 

Volunteers  for  field  service,  537  to  541. 
Civilians: 
Care  of,  at  Fort  Bayard,  341,  342. 
Issues  and   sales  to,   of  appliances,   dressings, 

medicines,  etc.,  242  to  244. 
On  register  of  patients,  438. 
Physical  examination  of,  preparatory   to  field 

service,  589. 
Reports  of  sick  and  wounded,  data  concerning, 

459. 
See  also  Inhabitants  of  Occupied  Territory. 
Civil-Service  Rules: 
Application  to  appointment  of  civilian  employees 
108,  113,  114. 
Cleaning  Mixtures: 

Issue  of  medical  property  for,  prohibited,  518. 
Clerks: 
Civilian,  103, 108,  113, 117. 
See  also  Civilian  Employees. 
Clinical  Records: 
Brief  used  as  admission  card,  209. 
Disposition  of,  211,  279. 


364 


INDEX. 


Clinical  Records— Continued. 
Files  for,  844. 
General  hospitals,  293. 
General  pro%-isions,  407  to  411. 
List  of  blanks,  961. 

Patients  transferred  from  ward  to  ward,  211,  408. 
Patients  transferred  to  general  hospital,  215. 
Clinical  Tliermomcters: 

Requisitions  for,  845  note. 
Clothing: 

Disinfection  or  destruction  of,  222,  230,  279. 
Hospital  Corps,  allowances,  47,  8C5. 
.   Hospital  Corps,  white  duck,  to  be  worn  when,  47. 
Hospital,  repair  of,  266,  269. 
Hospital,  to  be  marked  as  hospital  property,  228. 
Hospital,  to  be  worn  by  patients,  228. 
Laundering  of,  belonging  to  enlisted  attendants 

in  hospital,  47,  266  to  278. 
Laundering  of,  belonging  to  Medical  Department, 

266  to  278. 
Laundering  of,  belonging  to  patients,  222,  266  to 

278. 
Laundering  of,  uniforms  of  Nurse  Corps,  96,  2u6 

to  278. 
Repair  of.  Medical  Department,  266. 
Coal: 

Requisitions  for,  4S6. 
Color  Sense: 

Examinations  for,  397. 
Combat: 
Aid  stations,  642,  645  to  650. 
Ambulance  companies,  function  of,  671,  674  to  690 
Bands,  assistance  of,  643. 
Base  hospitals  in,  759. 
Camp  infirmaries  in,  666. 

Care  of  wounded  devolves  on  sanitary  troops,  644 
Diagnosis  tags,  use  of,  567  to  574. 
Director  of  ambulance  companies,  duties,  655. 
Director  of  field  hospitals,  692,  694. 
Di^'isional  sanitary  service  in,  724  to  742. 
Division  surgeon,  duties  concerning,  724  to  742, 

744. 
Dressing  stations,  establishment  of,  674  to  684, 690, 
Evacuation  ambulance  companies,  function  of, 

807,  809  to  812. 
Evacuation  hospitals,  function  of,  795,  798,  801. 
Field  hospitals,  function  of,  699,  701  to  709. 
First-aid  packets,  use  of,  644. 
Objects  of  Medical  Department  in,  530,  531,  628, 

629,  754. 
Regimental  medical  service  of,  642  to  650. 
Replenishment  of  supplies,  551,  633. 
Reports  and  returns  after  each  engagement,  558^ 

562,  567  to  574,  579. 
Stations  for  slightly  wounded,  711  to  715. 
Supplies  for  troops  on  the  line,  replenishment  of, 

551,  633. 
Surgeon,  advance  group,  duties  of,  822  to  825. 
Surgeon,  base  group,  duties  of,  819. 
Combat  Equipment,  Regimental: 
Table  of,  866,  867. 

See  also  Regimental  Combat  Equipment. 
Commode  Chest: 
Contents  of,  928. 
Commutation  of  Rations: 
Army  and  N'avy  General  Hospital,  328. 
Hospital  matrons,  265. 


Commntation  of  Rations— Continued. 
Nurse  Corps,  81,  232,  248. 
Patients  in  hospital,  232,  248. 
Sec  also  Rations  in  Kind  and  Subsistence. 
Complications: 
Record  of,  on  register  of  patients  and  reports  of 
sick  and  wounded,  449,  462. 
Compressed-Air  Apparatus: 

Contents  of,  903. 
Concentration  Camps: 
Camp  hospitals  for,  600. 
Definition  of,  598. 
Equipment  of  troops  at,  599. 
Instruction  at,  599. 
Physical  examinations  at,  599. 
Sanitary  service  at,  control  of,  599. 
Sick  call,  supphes  for,  601. 
Surgeons  of,  599. 
Vaccinations  at,  599. 
Contagions  Disease  Hospitals: 
In  the  field,  5S6,  756,  767,  768. 
Records  of  sick  and  wounded  at,  575. 
Contagions  Diseases: 
Boards  of  health  to  be  notified  of  appearance,  203. 
Sec  also  Diseases,  Infectious. 
Contract  Dental  Sursreons: 
General  provisions,  21  to  25. 
See  also  Dental  Corps. 

Contracts: 

Bonds  for  contracts  for  laundry  work,  276. 
Laundry  work,  274  to  276. 
Contract  Surgeons: 
Allowances  of,  53,  54. 
Annulment  of  contracts,  52,  53. 
Appointment,  14,  51  to  54. 
Compensation,  51  to  54. 
Contracts  with,  52  to  54. 
Deaths  of,  reports,  219. 
Discharge  of,  52,  53. 

Duties,  53,  54. 

Employment  of,  by  surgeon,  base  group,  819. 

Enlistments  not  to  be  made  by,  40. 

Examinations  for  employment  as,  53. 

Expenses  of  applicants,  53. 

Law  authorizing  employment,  51. 

Numiser  allowed,  51. 

Pay,  51,  52. 

Personal  reports,  55. 

Qualifications  for  employment,  53. 

Quarters,  53,  54. 
Contributions,  Voluntary: 

Surgeon,  base  group,  may  receive,  etc.,  819. 
Convalescent  Camps: 
Branches  of  general  hospitals,  289,  766. 

Establishment  of,  766. 
Line  of  comnumications  unit,  756. 
Records  of  sick  and  wounded  of,  608. 
Relation  to  Medical  Department  organization  in 
campaign,  586. 

Cooking  Utensils,  Chest  of: 

Contents,  929. 

Cooks,  Acting: 

General  provisions,  37,  38. 
Sec  also  Hospital  Corps. 


INDEX. 


365 


Cooks,  Hospital: 

Civilian,  103  to  106. 
Gratuities  to,  255. 

Volunteer,  for  field  service,  537  to  541. 
See  also  ^ff/W!;  Cooks. 
Corporals,  Hospital  Corps: 
General  provisions,  39. 
See  also  Hospital  Corps. 
Correction  Cards: 

Reports  of  sick  and  wounded,  463,  464. 
Correspondence: 
Attending  surgeons,  404. 
Boolcs,  405,  962. 

Channels  in  the  field,  557,  744,  828. 
Convalescent  camps,  G07. 
Correspondence  book  system,  403. 
Department  surgeons,  369,  402. 
Directors  of  field  hospitals  and  ambulance  com- 

pardes,  652,  692. 
Disposition  of  retained  records  in  the  field,  566. 
General  hospitals,  402. 
General  orders  governing,  406. 
Hospitals,  403. 

Indelible  pencil  may  be  used  in  the  field,  565. 
In  the  field  in  time  of  war,  556,  557,  560,  564  to  566. 
Line  of  communications,  557. 
Medical  supply  depots,  402. 
Mobilization  camps,  595. 
Mobilized  divisions,  557. 
Record  card  system,  402,  406. 
Records  of,  402  to  406. 
Correspondence  School; 
For  medical  oflicers,  147. 
Cosmetics: 

Issue  of  medical  property  for,  prohibited,  518. 
Crate,  Field  Laboratory: 

Contents  of,  939. 
Crutches: 

Transfer  of,  with  patients,  228. 
Curtains,  AVindow: 

Requisitions  for,  845  note. 
Dead: 
Diagnosis  tags  appUed  to,  558,  567,  570. 
Disposition  of,  279,  300. 

Efl'ects  of  deceased  patients  in  hospital,  225,  226. 
Deaths: 
Acting  dental  surgeons,  reports  of,  219.. 
Civilian  employees,  reports  of,  118,  130,  218. 
Contract  surgeons,  reports  of,  219. 
Dental  surgeons,  reports  of,  219. 
Enlisted  men,  reports  of,  218. 
Hospital  Corps,  reports  of,  45. 
Medical  officers,  reports  of,  219. 
Nurses,  reports  of,  100. 
Officers,  reports  of,  218,  219. 
Patients'  effects,  disposal  of,  225, 226. 
Patients,  en  route,  584. 
Record  of,  on  list  of  sick  and  wounded,  576. 
Record  of,  on  register  of  patients,  428,  450. 
Record  of,  on  reports  of  sick  and  wounded,  401, 

459.     • 
Reports  to  Boards  of  Health,  401. 
Reports  to  Director  of  Census,  401. 
Sergeants,  first  class.  Hospital  Corps,  reports  of, 
219. 
Dental  Assistant: 
Provisions  concerning,  42. 


Dental  Case: 

Contents  of,  911. 
Dental  Cases: 

Record  of,  on  register  of  patients,  430. 
Dental  Corps: 

Allowances,  20. 

Appointments,  acting  dental  surgeons,  20  to  25. 
Appointments,  dental  surgeons,  20, 26  to  31. 
Authority  of,  20. 

Contracts,  acting  dental  surgeons,  25. 
Deaths,  reports  of,  218, 219. 
Discharge,  acting  dental  surgeons,  25. 
Enlisted  assistant,  42. 

Examinations  for  appointment,  22  to  24, 25 1  d  30. 
Expenses  of  candidates,  21. 
Grades  in,  20. 
Law  establishing,  20. 
Number  allowed,  20. 
Part  of  Medical  Department,  1,  20,  533. 
Pay,  20. 

Personal  reports,  32. 
Promotion,  28. 
Rank  of  dental  surgeons,  20. 
Retirement,  20. 

Status,  acting  dental  surgeons,  20. 
See  also  Dentists. 
Dental  Patients: 

Register  of,  465  to  472. 
Dental  Property: 
Returns  of,  508. 
Dental  Supplies: 
Accountability  for,  501  to  503. 
Articles  furnished  by  surgeons,  491, 852. 
Expendable  articles  estimated  for  six  months,  65L 

General  provisions,  849  to  853. 

Plate  work,  853. 

Requisitions  for,  491  to  495,  853. 

Supply  table,  854  to  856. 
Dental  Supply  Table: 

Additional  supplies,  856. 

Base  outfit,  855. 

Portable  outfit,  854. 
Dental  Surgeons: 

General  provisions,  20  to  32. 

See  also  Dental  Corps. 
Dental  Work: 

Reports  of,  473. 
Dentists: 

Accountability  for  medical  property,  501  to  503. 

Issues  of  post  supplies  to,  491,  852. 

Returns  of  medical  property,  507,  508. 

See  also  Dental  Corps. 
Department  Hospitals: 

Provisions  concerning,  282. 

See  also  General  Hospitals  and  Hospital  Service. 
Department  Laboratories: 

Containers  for  specimens,  355. 

Material  for  identification,  353. 

Packages  sent  by  mail,  355. 

Purpose  of,  351. 

Secretions,  excretions,  and  tissues,  352. 

Special  media  supplied,  354. 

Water,  356  to  360. 
Department  Sanitary  Inspectors: 

Duties  of,  371. 

Inspections  by,  372  to  374. 

Reports,  372  to  374. 


;66 


IKDEX. 


Department  Surgeons: 
Correspondence,  record,  and  document  system, 

369, 402. 
Duties  of,  364  to  370. 

Hospital  fund,  duties  respecting,  257,260. 
Instruction,  Hospital  Corps,  duties  respecting, 

176. 
'  Laundry  of  hospitals,  authority  over,  269. 
Mobilization  camps,  to  furnish  program  for  in- 
struction, 594. 
Nurses,  transfer  of,  77. 
Provision  of  camp  hospitals,  603. 
Reports  and  papers,  368  to  370. 
Reports,  annual,  370. 
Reports  of  sick  and  wounded,  duties  respecting, 

461. 
Reports  of  surgical  operations  consolidated,  420. 
Requisitions  for  supplies,  action  on,  481,  487,  489, 

492. 
Sanitary  inspector,  assistant  to,  371. 
Deposits: 
Proceeds  of  sales  of  medicines  to  civilians,  243. 
Proceeds  of  sales  of  other  medical  property,  509. 
Depots,  Medical  Supply: 
See  Advance  Medical  SuppJy  Depots,  Base  Medical 

Supply  Depots,  and  Medical  Supply  Depots, 
Descriptive  and  Assignment  Cards: 
Copies  of,  to  be  forwarded  to  the  Surgeon  General 

in  cases  of  men  transferred  to  the  Hospital 

Cori>s,  41. 
Medical  property  in  possession  of  men  transferred, 

to  be  noted  on,  49. 
Descriptive  Lists: 
Camp  infirmary  personnel,  659. 
Copies  of,  to  bo  forwarded  to  the  Surgeon  General, 

in  cases  of  men  transferred  to  the  Hospital 

Corps,  41. 
Medical  property  in  possession  of  men  transferred, 

to  be  noted  on,  49. 
Proficiency  or  Hospital  Corps  men  transferred,  to 

be  noted  on,  46, 179. 
Deserters: 
Effects  of  patients  who  desert,  225. 
Physica  1  examinations  of,  393. 
Desertions: 
Hospital  Corps,  reports  of,  45. 
Record  of  admission  from,  on  register  of  patients, 

445. 
Record  of,  on  register  of  patients,  450. 
Desks,  Field: 
Contents  of  No.  1,  940. 
Contents  of  No.  2,  941. 
Diagnosis: 
"Change  of  diagnosis"  cards,  211,  212,  213. 
Change  of,  entry  as  to  line  of  duty,  449. 
Change  of,  upon  admission  of  patients  by  transfer, 

446. 
Changes  of,  on  register,  to  be  reported  to  Surgeon 

Gonoral  for  correction  of  report  cards,  462. 
Nomenclatiu-e  to  be  used  in  recording,  555,  556. 
Record  of,  on  register,  alterations  in,  436. 
Record  of,  on  register  of  dental  patients,  472. 
Record  of,  on  register  of  patients,  446,  455,  456. 
Dlatrnosls  Ta'.;s: 
General  provisions  concerning,  558,  567  to  574. 
Use  of,  at  aid  stations,  619. 
Use  of,  at  dressing  stations,  684. 


Dlasrnosis  Tags — Continued. 

Use  of,  at  stations  for  slightly  wounded,  713. 

Use  of,  on  the  march,  639 
Diet  Cards: 

Use  of,  235. 
Diet  Kitchens: 

Provisions  concerning,  239. 

See  also  Mess  Management. 
Diet  of  Sick: 

See  Mess  Management. 
Diphtheria: 

Antidiphtheritic  serum,  procurement  of,  843  note, 
879,  891,  note. 

Report  of  appearance  of,  201. 
Director  of  the  Census: 

Reports  of  births  and  deaths  to,  401. 
Directors  of  Ambulance  Companies: 

Command  camp  infirmaries,  656. 

Duties,  general,  652,  653,  656. 

Duties  in  combat,  655,  676. 

Duties  on  the  march,  639,  654. 

Records  and  files,  652. 

Relation  to  organization  of  Medical  Department 
in  campaign,  586. 

Station  on  the  march,  654. 

With  Cavalry  di\isions,  742. 
Directors  of  F^eld  Hospitals: 

Duties,  general,  692  to  694. 

Duties  in  combat,  692  to  694,  701. 

Records  and  files  of,  692. 

Relation  to  organization  of  Medical  Department 
in  campaign,  586. 

Station  on  the  march,  693. 
Directory  of  Medical  Personnel: 

To  be  kept  by  department  surgeons,  369. 
Disbursements: 

Hospital  fund,  division  surgeons  to  audit,  3ii5. 

Mess  bills  to  be  settled  promptly,  234. 
Disbursing  Officers: 

Duties  of,  377  to  379. 

Proceeds  of  sales,  how  to  account  for,  509,  510. 
Discharged  Soldiers: 

At  Army  and  Navy  General  Hospital,  327,  329. 

At  Fort  Bayard,  335,  357. 

On  register  of  patients,  43S. 
Discharges: 

Acting  dental  stirgeons,  22. 

Civilian  employees,  105, 106, 110, 113, 115, 116,  lis, 
126. 

Civilian  employees.  Army  and  Na^-y  General 
Hospital,  318. 

Contract  surgeons,  52,  53. 

Enlisted  men,  for  refusal  of  surgical  treatment, 
220. 

Enlisted  men,  physical  examinations  for,  3g4. 

Hospital  Corjis,  reports  of,  45. 

Hospital  matrons,  268. 

Medical  Corps,  2. 

Medical  Reserve  Corps,  8, 14, 143. 

Nurse  Corps,  56,  57,  60,  68,  to  73,  86, 100. 

Record  of,  on  register  of  patients,  427,  431,  450. 

Students  at  Army  Medical  School,  143, 145. 
Discipline  of  Patients: 

At  Army  and  Navy  General  Hospital,  333. 

At  Fort  Bayard,  344. 

In  hospital  wards,  279. 


INDEX. 


367 


Diseases: 

Nomenclature,  dental,  470. 

Nomenclature,  general,  455.  _ 

To  be  treated  at  Army  and  Navy  General  Hos- 
pital, 319. 
Diseases,  Epidemic: 

Duty  of  civilian  practitioner  on  military  reserva- 
tion respecting,  348, 349. 

Reports  of,  201  to  203. 
Diseases,  Infectious: 

Civilian  physician  discovering,  duty  respecting, 
34S,  349. 

Examinations  of  personnel  for,  before  going  on 
field  service,  5S9,  594. 

General  provisions,  183  to  200. 

Malarial  fever,  195  to  197. 

Paratyphoid  fever,  1S4  to  191. 

Reports  of,  201  to  203. 

Smallpox,  102  to  194. 

Syphilis,  200. 

Typhoid  fever,  1S4  to  191. 

Venereal  diseases,  198  to  200. 
Disinfection: 

Bed  linen,  279. 

Beds,  279. 

Clothing,  230,  279. 

Rooms,  843  note. 
Dismissal: 

Record  of,  on  register  of  patients,  431,  450. 
Dispensary  .Management: 

Provisions  concerning,  240  to  244. 
Dispensing  Set: 

Bottles  and  jars  of,  942. 
Distribution  of  Field  Supplies: 

Regimental,  for  field  operations,  632,  633. 

Regimental,  in  time  of  peace,  504  to  506. 
Distribution  of  Sanitary  Troops: 

Of  division,  716  to  742. 

Of  Medical  Department  in  campaign,  572. 
Divisional  Sanitary  Service,  Administration  of: 

Ambulance  companies  on  the  march,  721. 

Battle  order,  732  to  739. 

Camp  infirmaries  on  the  march,  723,  724. 

Cavalry  division,  741,  742. 

Defensive  engagements,  726,  736. 

Division  surgeon's  orders,  732,  735,  738. 

Information  required  by  combatant  troops,  733, 
735. 

Information   required  by  regimental  surgeons, 
734,  735. 

Offensive  engagements,  727  to  729,  737. 

Rear-guard  actions,  730, 739. 

Rencontre  engagements,  731. 

Sanitary  train,  control  of,  717  to  720. 

Sanitary  train  in  camp,  719. 

Sanitary  train  in  combat,  725,  726. 

Sanitary  train  on  the  march,  718,  720  to  724. 

See  also  Division  Surgeons  and  Division  Sanitary 
Inspectors. 
Division  Sanitary  Inspectors: 

Assistant  to  division  surgeon,  746. 

Duties  of,  746  to  750. 

May  be  authorized  to  correct  defects  direct,  749. 

Reports  of,  747,  748. 

Sanitary  squads,  750, 


Divisions,  Tactical 

Administration  of  sanitary  service,  716  to  742. 
Reserve  supplies  for,  890,  891. 
See  also  Divisional  Sanitary  Service,  Division  Sani- 
tary Inspectors,  and  Division  Surgeons. 
Division  Surgeons: 
Correspondence  records  and  paper  work,  557,  560, 

744. 
Diagnosis  tags,  disposition  of,  573. 
Duties,  general,  743,  744. 
Duties  in  combat,  725  to  742. 
Duties  on  march,  720  to  724. 
Equipment  of  office,  884. 
Field  hospitals,  duties  in  respect  to  establishment 

of,  701,  702. 
l4St  of  sick  and  wounded,  578. 
Paper  work,  method  of  conducting,  560,  744. 
Provision  of  camp  hospitals,  603. 
Red  Cross  units,  command  of,  743. 
Reports  on  campaign,  at  conclusion  of,  561. 
Reports  to  chief  surgeon,  field  army,  744. 
Report  to  division  commander  after  each  engage- 
ment, 744. 
Requisitions  from  divisional  imits,  action  on,  552. 
Sanitary  inspections,  744. 
Sanitary  train,  control  of,  716  to  724,  743. 
Station  on  march,  744. 
Title,  534. 
Transfer  of  supplies  between  sanitary  formations, 

551. 
Voluntary  aid,  individual,  may  accept,  537. 
See  also  Divisional  Sanitary  Service. 
Division  Surgeon's  OfiSce  Equipment: 
Blank  forms,  emergency  supply,  885. 
Cubic  measurement,  884. 

Other  supplies,  8S4  note. 

Supply  table,  884. 

Weight,  884. 
Documents: 

Files  of,  402,  403,  405,  406,  564. 

Obsolete,  disposition  of,  426. 

Retained,  in  theater  of  operations,  566. 
Dressing  Packet,  Individual: 

Contents  of,  949. 
Dressings,  Surgical: 

Ambulance  box  of,  contents  of,  954. 

Box  of,  contents  of,  955. 

Civilians,  issues  and  sales  to,  242  to  244. 

First-aid  packets,  contents  of,  944  to  94<). 

Individual  dressing  packet,  contents  of,  949. 

Replenishment  of,  in  combat,  551,  633. 

Shell-wound,  946. 
Dressing  Stations: 

Bearers,  670. 

Closing,  690. 

Combination  with  aid  station,  679. 

Defensive  engagements,  726. 

Departments  of,  681. 

Diagnosis  tags,  use  of,  at,  682,  684. 

Effects  of  patients,  649. 

Equipment  table,  874  to  878. 

Establishment  of,  676,  677. 

Evacuation  of,  6S0,  682,  685  to  690. 

General  provisions,  675  to  684,  690. 

Location  of,  676,  678,  679. 

Moving,  690. 

Ofiensivc  engagements,  727. 


368 


IXDEX. 


Dressing  Stations— Continued. 

Openinsr,  676,  677. 

Rear-piiard  actions,  730,  739. 

Records,  number  of  patients,  etc.,  to  be  noted,  6S4. 

Shelterfrom  fire.  678. 

Transportation  of  woimded  to  and  from,  689. 

Treatment  at,  character  of,  683. 
Durable  Property: 

Disposition  of,  259. 

Purchase  of,  259. 

Return  of,  260,  262. 

Transfer  of,  261. 

See  also  Hospital  Fund. 
Duty,  Line  of: 

Record  of,  on  daily  sick  report,  207. 

Record  of,  on  register  of  patients,  448,  449. 
Duty,  Return  to: 

Record  of,  on  register  of  patients,  450. 

Surgeon  to  decide  when  patients  shall,  281. 
Ear,  Nose,  and  Throat  Case: 

Contents  of,  912. 
Education  and  Training; 

General  provisions  concerning,  131  to  181. 
Effects  of  Dead  and  of  Patients: 

Infected  clothing,  230. 

In  hospitals,  221  to  226,  279. 

In  general  hospitals,  293,  301,  303. 
Efficiency  Reports: 

Civilian  employees,  120  to  128. 

Hospital  Corps,  46. 

Niu'se  Corps,  99. 
Electric  Batteries: 

Dry  cells,  recharging  of,  845  note. 
Electric  Current: 

Requisitions  for,  486. 
Emblem  of  Sanitary  Service: 

Personnel,  formations,  and  materiel,  542  to  546. 
Emergency  Case: 

Contents  of,  913. 
Employees: 

Civilian,  103  to  130. 

See  also  Civilian  Employees. 
Enlisted  Men: 

Deaths,  reports  of,  218,  219,  279,  300. 

Discharge,  physical  examinations  for,  394. 

Identification  records  of,  392. 

Laundry  of  clothing  of,  267. 

Surgical  treatment,  refusal  of,  220. 

Valuables  of  patients,  forbidden  to  receive,  221, 
279. 

See  also  Hospital  Corps. 
Enlistments: 

While  in  hospital,  effect  of,  on  register  of  patients, 
431. 

See  also  Hospital  Corps. 
Epidemic  Diseases: 

Ci^alian  practitioners  treating  on  military  reserva- 
tions, 348,  349. 

Reports  of,  201  to  203, 
Equipment: 

"■A,""B,"and  "C"  defined,  860. 

Field,  suggestions  for  improvement  of,  474. 

norse  equipments,  943. 

Hospital  Corps,  transfer  of,  48,  49. 

Sick  and  wounded  in  the  field,  640,  649. 

Wheel  transportation  for  equipment  "A"  only, 
860. 


Equipment  Tables: 

Advance  medical  supply  depot,  895. 

Ambulance  company,  874  to  878. 

Base  hospital,  891,  892. 

Base  medical  supply  depot,  894. 

Camp  hospitals,  886. 

Camp  infirmary,  869,  870,  873. 

Camp  infirmary  reserve.  871,  873. 

Chief  surgeon,  field  army,  office,  901. 

Division  surgeon,  blank  forms,  884,  885. 

Division  surgeon's  office,  884. 

Evacuation  ambulance  company,  897.        . 

Evacuation  hospital,  891,  892. 

Field  hospital,  879  to  883. 

Field  laboratory,  896. 

Hospital  Corps,  horse,  943. 

Hospital  Corps,  individual,  865. 

Hospital  ship,  898. 

Hospital  train,  899,  900. 

Medical  officers,  individual,  864. 

Medical  reserve  unit,  891. 

Regimental  combat  equipment,  866  to  868. 

Regimental  hospital,  872,  873. 

Surgeon,  base  group,  office.  901. 
Estimates,  Construction  and  Repair  of  Hospitals: 

General  provisions,  245. 
Evacuation  Ambulance  Companies: 

Commanding  officer,  duties,  805. 

Defensive  engagements,  726. 

Designation  of,  804. 

Duties  of,  808  to  812. 

Emergency  supplies  for,  552. 

Equipment,  S06. 

Function  of,  807. 

General  provisions  concerning,  804  to  812. 

Increased  transport  for,  809. 

Location  of,  810. 

Motor  ambulances  for,  806. 

Number  of,  allowed,  804. 

Personnel,  S06. 

Records,  reports,  and  returns',  562,  581. 

Relations  to  Medical  Department  organization  in 
campaign,  586. 

Report  after  each  engagement,  562. 

Rest  stations  established  by,  781. 

Supplies  for,  806. 
Evacuation  Ambulance  Company  Equipment: 

Motor  ambulances  for,  806. 

Pack  mules  probably  unnecessary,  806. 

Reserve  dressings  probably  unnecessary,  806. 

Similar  to  that  of  an  ambulance  company,  806 
897. 
Evacuation  Hospital  Equipment: 

Ambulances,  motor,  891  note. 

Blank  forms  for,  891  note. 

Cubic  measurement  of  medical  supplies,  891. 

Medical  supplies,  801. 

Not  strictly  limited  to  supply  table,  859,  889. 

Quartennaster  supplies,  892. 

Weight,  891,  892. 
Evacuation  Hospitals: 

BLmks  for,  891,  note. 

Buildings  to  be  used  when  available,  796. 

Commanding  officer,  duties  of,  799. 

Defensive  engagements,  726. 

Designation  of,  793. 

Emergency  supplies  for,  552. 


INDEX. 


369 


Equipment — Continued. 
Evacuation  of,  SOi. 
Function  of,  795,  799. 
Line  of  communications  units,  793, 
Location  of,  796,  797. 
Moving,  797,  798. 

Not  strictly  limited  to  supply  table,  859, 889. 
Number  allowed,  793. 
Opening,  798. 
Personnel  of,  794. 

Records,  reports,  and  returns,  575, 808. 
Relation  to  organization  of  Medical  Department 

in  campaign,  586. 
Supply  tables,  891,  892. 
Transportation  for  evacuation  of,  802. 
Treatment  of  wounded  at,  character  of,  800. 
See  also  Evacuation  Hospital  Equipment. 
Evacuation  of  Sick  a«d  Wounded: 
Additional  transport  for,  629,  687,  809,  823. 
Chief  problem  of  Medical  Department,  530,  627 

754. 
Line  of  communications,  754,  819,  825. 
Selection  and  classification  of  patients  for,  628' 

826,  839. 
See  also  under  the  several  field  units. 
Examinations: 
Acting  dental  surgeons,  for  appointment  and  pro- 
motion, 20,  21  to  24,  26  to  30. 
Chief  nurses,  59. 

Contract  surgeons,  for  appointment,  53. 
Dental  Corps,  for  appointment,  26  to  30. 
Field  appliances  and  chests,  516. 
Hospital  Corps,  sergeants  first  class  and  sergeants, 
33,  35,  36. 
'Infectious  diseases,  examinations  of  troops  for 
discovery  of,  589. 
Instruments,  monthly,  519. 
Laboratory  specimens,  352  to  355. 
Medical  Corps,  for  appointment  and  promotion 

2,  10,  11. 
Medical  property,  annual,  512. 
Medical  Reserve  Corps,  for  appointment,  14  to  17, 
Niu^e  Corps,  by  superintendent,  57. 
Ntirse  Corps,  chief  nurses,  59. 
Nurse  Corps,  for  appointment,  56,  63  to  65. 
Red  Cross  units,  by  medical  officers,  536. 
Pathological  specimens,  352  to  355. 
Physical,  382  to  397.    (See  also  Physical  Exami- 
nations.) 
Water,  356  to  360. 
Examining  Boards: 
For  acting  dental  surgeons,  22  to  24. 
For  contract  surgeons,  53. 
For  Dental  Corps,  22  to  24,  2o  to  30. 
For  Hospital  Corps,  sergeants  first  class  and  ser- 
geants, 33,  35,  36. 
For  Medical  Corps,  2  to  9. 
For  Medical  Reserve  Corps,  15  to  17. 
Exchanges,  Post: 
Dividends  from,  348. 

Medical  and  hospital  care  of  employees  of,  346. 
Expenses  of  Sales: 

Medical  property,  509. 
Expenses,  Travellmg: 
Acting  dental  surgeons,  candidates  for  employ- 
ment as,  21. 
CiTilian  employees,  104  to  117. 

70156'— 18 24 


Expenses,  Traveling— Continued. 
Contract  siurgeons,  53. 
Medical  Corps,  candidates  for  appointment  in, 

3,8. 
MiUtia  ofllcers,  while  attending  Army  Medical 

School,  145. 
Nurse  Corps,  56,  72,  73, 82  to  86. 
Red  Cross  personnel,  536. 
Eye  Case: 

Contents  of,  914. 
Families: 
Definition  of,  with  respect  to  medical  attendance, 
345. 
Feces: 

For  diagnostic  purposes,  191, 352. 
Female  Nurses: 

See  Nurse  Corps  and  yurses. 
Field  Array,  Chief  Surgeon: 
General  provisions,  828  to  830. 
See  also  Chief  Surgeon,  Field  Arm^. 
Field  Chests: 

Contents  of,  927  to  938. 
Field  Desks: 
ContentsofNo.  1,940. 
ContentsofNo.  2,  941. 
Field  Equipment: 

See  Equipment  and  Equipment  Tablet. 
Field  Hospital  Directors: 
General  provisions,  691  to  694. 
See  also  Directors  of  Field  Hospitals. 
Field  Hospital  Equipment: 
Articles  kept  in  store,  879. 
Articles  not  kept  in  store,  880. 
Articles  suppUed  by  camp  quartermaster,  882. 
As  a  nucleus  for  camp  hospital  equipment,  601, 

886. 
Containers  for,  how  marked,  879  note. 
Cubic  measurements  as  stored,  879. 
Grain,  1  day's  in  jockey  box,  883  note. 
Loading  table  for  wagons,  883. 
Rail  transportation  required,  881. 
Requisitions  for,  879,  880. 
Supply  table,  879,  880. 
Tentage,  directions  for  loading,  883  note. 
Wagons,  how  marked,  696. 
Weight  as  carried  on  wagons,  883. 
Weight  as  stored,  879. 
Field  Hospitals,  Peace  Organization: 
Certificates  of  proficiency  for  men  imder  instruc- 
tion, 164, 165. 
Commanding  officer,  159, 160. 
Discipline,  160. 

Duties  of  permanent  personnel,  158. 
Instruction,  courses  of,  161  to  165. 
Law  authorizing,  33. 
Organization,  158. 
Personnel,  158. 

Records  of  class  work,  163  to  165. 
See  also  Hospital  Corps. 
Field  Hospitals,  War  Organization: 
Blanks  for^  879,  940. 
Civil  hospitals,  transfers  to,  700. 
Closing,  708,  709. 
Collecting  points  for  sick,  700. 
Commanding  officer,  697. 
Defensive  engagements,  726. 
Departments  of,  703, 701. 


370 


INDEX. 


Field  Hospital  War  Organization— Continued. 

Designations  of,  695. 
Diagnosis  tags,  use  of,  572. 
Dressing  stations,  replacement  of,  701. 
Duties,  general,  699  to  709. 
Duties,  in  combat,  701  to  707. 
Duties,  on  the  march,  700. 
Establishment  of,  701. 
Evacuation  of,  699,  700,  704,  706  to  708. 
Function  of,  699. 

General  provisions  concerning,  695  to  709. 
Guards,  550. 

Immobilization  of,  to  be  prevented,  603,  700,  707 
Law  authorizing,  33. 
Location  of,  701. 
Moving,  708,  709. 
Number  to  be  established,  701. 
Oflensive  engagements,  729. 
Opening,  700  to  702,  709. 
Personnel,  698. 
Rear-guard  actions,  730,  739. 
Records,  reports,  and  reUims,  562, 704. 
Report  after  each  engagement,  562. 
Station,  on  march,  722. 
Supply  tables,  879  to  882. 
Treatment  at,  character  of,  705. 
With  Cavalry  divisions,  741. 
See  also  Field  Hos-pital  Equipment. 
Field  Laboratories: 
Establishment  and  function  of,  778. 
Records  of  sick  and  wounded  at,  575. 
Relation  to  Medical  Department  organization  in 

campaign,  586. 
Supply  table,  896. 
Field  Laboratory  Chests; 
Contents  of  No.  1,930. 
ContentsofNo.  2,  931. 
Contents  of  crate,  939. 
Field  Medical  Supplies: 
Base  supply  depots,  on  hand  at,  782. 
Containers  for,  863. 

Delivery  of,  in  the  zone  of  the  advance,  555. 
Department  sanitary  inspector's  duties  regard- 
ing, 371. 
Department  surgeon's  duties  regarding,  365. 
Distribution  of,  in  time  of  peace,  504  to  506. 
Equipments  "A,"  "B,"  and  "C"  defined,  860. 
Hospital  Corps  man  may  accompany,  554. 
Inspections  of,  516. 
Litters,  replacement  of  canvas,  526. 
Maximum  and  minimum  list  of,  782,  788,  830. 
Not  to  be  used  at  posts,  515. 
Packing  of,  863. 

Replenishment,  how  often,  858. 
Replenishment  iu  combat,  551. 
Requisitions  for,  in  peace,  489,  490. 
Requisitions  for,  in  war,  551  to  553. 
Retin-ns  of,  507. 
Tables  of,  857  to  901. 
Transportation  of,  549,  554. 
Wheeled  transportation  for  "A"  supplies  only 

860. 
See  also  Equipment  and  EquipmmU  Tables. 
Field  Microscope  with  Accessory  Case: 
Contents  of,  9.50. 


Field  Problems  for  Medical  Officers: 

Casualties  in  action,  152. 
General  provisions  concerning,  148  to  153. 
Medical  personnel  required  in  war,  153. 
Field  Supply  Tables: 
General  outline,  857  to  901. 
See  also  E^ipment  Tables. 
Fire: 

In  hospitals,  279,  300. 
Firearms: 
Guards  for  sanitary  formations,  560. 
Wounded  on  the  field,  640, 649. 
First  Afd: 

Instruction  in,  131, 155, 162, 170, 694, 634. 
First- Aid  Packets: 
Contents  of,  944  to  946. 
Issues  of,  to  line  troops,  845  note. 
Personnel  provided  with,  632, 633. 
Wounded  to  apply,  when,  644. 
Flags: 

Sanitary  service,  545. 
Floors: 

Hospitals,  oiling,  painting,  etc,  246. 
Food  Boxes: 
Contents  of  ambulance  box,  947. 
Contents  of  box,  948. 
Foot  Powder: 

Issue  o  f,  to  troops,  843  note. 
Forceps  Case,  Hemostatic: 

Contents  of,  915. 
Formaldehyde: 

Gas,  rule  for  generating,  84-3  note. 
Forms: 

See  Blank  Forms. 
Formulae: 

Unoflacial  compound  medicinal  preparations,902 
Fort  Bayard  General  Hospital: 
Admissions,  334  to  338, 396. 
Discipline  of  patients,  344. 
Examinations,  physical,  for  admission,  396. 
General  provisions,  334  to  344. 
Hospital  charges,  339  to  343. 
Navy  patients,  335,  341. 
Transfers  to,  334,  336. 
Fractures: 

Record  of,  on  register  of  patients,  456. 
Fuel: 

Requisitions  for  coal,  gas,  and  oil,  486. 
Fund,  Hospital: 
General  provisions,  248  to  262. 
See  also  Hospital  Fund. 
Furloughs: 
Hospital  Corps,  45. 
Record  of,  on  register  of  patients,  450. 
Gardener,  Hospital: 

Gratuities  to,  255. 
Gas,  as  Fuel: 

Requisitions  for,  486. 
General   Hospitals: 
Additional  in  time  of  war,  &06. 
Adjutant,  290,  292,  297, 301. 
Administration  division  personnel,  290. 
Admissions  to,  2ss,  301, 307. 
Assistants  to  ofTicor  of  the  day,  298, 301  to  306. 
Augmentation  of,  in  war,  587,  606. 
Capacity  of  those  of  standard  size,  289. 


INDEX. 


371 


General  Hospitals — Continued. 
Chaplain,  290. 

Chief  of  medical  service,  290,  307,  310. 
Chief  of  surgical  service,  290,  307,  310. 
Commanding  officer,  284,  290,  291. 
Commanding  officer,  detachment  Hospital  Corps, 

290,  296. 
Commanding  officer,  detachment  of  patients,  293. 
Consulting  board,  316. 
Control  of,  284. 
Convalescent  camp,  290. 

Dental  service,  290. 

Enlisted  men  under  treatment  three  months,  287. 

Executive  officer,  292. 

Expansion  of,  plans  for,  289. 

Fire  in,  300. 

Function  of,  283. 

Guards  for,  300,  305,  306. 

Hospital  Corps  detachment,  290,  296. 

Hospital  fund,  295. 

Hospitals,  ports  of  embarkation,  as  branches  of, 
609. 

Laboratory,  290. 

Matrons  on  duty  at,  266. 

Mess,  290,  295,  300. 

Money  and  valuables  of  patients,  293, 301. 

Nursing  service,  290,  311  to  315. 

Officer  of  the  day,  290,  297  to  302. 

Officer  of  the  guard,  290. 

Officers  under  treatment  three  months,  287. 

Patients'  effects,  293,  301,  303. 

Patients  under  treatment  three  months,  287. 

Personnel  of,  290. 

Plans  and  specifications  for,  289. 

Professional  division  personnel,  290. 

Public  property  at,  294,  304. 

Purposes  of,  283. 

Quartermaster,  290,  294. 

Quartermaster  Corps  men,  290. 

Red  Cross,  use  of,  in  time  of  war,  290. 

Registrar,  290,  293. 

Report  on  cases  under  treatment  three  months, 
287. 

Reports  and  returns,  287,  292,  293. 

Return  to  duty  of  those  under  treatment,  286. 

Supplies  for,  how  obtained,  286. 

Temporary,  289. 

Voluntary  aid,  acceptance  of,  539  to  541. 

Wards,  279,  290,  308  to  310. 

Ward  surgeons,  290,  307  to  310. 

Watchmen,  300,  305. 

See  also  Hospital  Service. 
General  Operating  Case: 

Contents  of,  916. 
Geneva  Convention  o^  190^: 

Provisions  of,  643,  647  to  549. 
Genito-Urinary  Case: 

Contents  of,  917. 
Gonorrhea: 

Provisions  concerning,  198, 199. 
Government  Hospital  for  the  Insane: 

Examinations,  physical,  for  transfer  to,  396. 

Transfer  cards  of  cases  sent  to,  216. 
Gratuities: 

To  cooks  and  gardeners,  255. 


Guards: 

For  general  hospitals,  306. 

Sanitary  service,  in  the  field,  550. 
Gynecological  Case: 

Contents  of,  918. 
Health,  Boards  of: 

To  be  notified  of  appearance  of  infectious  disease, 
203. 
Hearing: 

Examinations  of,  397. 
Hemostatic  Forceps  Case:        » 

Contents  of,  915. 
Hernia: 

Record  of,  on  register  of  patients,  465. 
History,  Medical,  of  Posts: 

General  provisions,  412. 

See  also  Medical  History  of  Posts. 
Horse  Equipments: 

Hospital  Corps,  943. 
Hospital  Boats: 

See  Hospital  Ships. 
Hospital  Buildings: 

Construction  and  repair  of,  245,  294,  .365. 

Floors,  246. 

Quarters  of  sergeant  first  class.  Hospital  Corps, 
245,  365. 

Repair  of,  245,  365. 

Reports  of  progress  of  work  on,  245. 
Hospital  Chaises: 

Army  and  Navy  General  Hospital,  329,  330. 

Fort  Bayard,  339  to  343. 
Hospital  Corps: 

Acting  cooks,  37,  38. 

Acting  hospital  stewards,  33. 

Assignment  to  duty,  44. 

Bedding,  use  of  by,  523. 

Certiiicates  of  proficiency,  146,  164,  178. 

Changes  of  station  or  status,  reports  of,  45,  46,  47. 

Clothing,  allowances,  47. 

Clotliing,  sizes  of,  47. 

Clothing,  white,  when  to  be  worn,  47. 

Constitution  of,  33. 

Cooks,  acting,  37,  38. 

Corporals,  39. 

Deaths,  reports  of,  45,  219. 

Dentist's  assistant,  42. 

Descriptive  and  assignment  cards,  41,  49. 

Descriptive  lists,  41,  47,  49,  179. 

Desertions,  45. 

Discharges,  45. 

Duties,  general,  33,  43,  279,  298. 

Duties  in  general  hospitals,  301  to  306. 

Efficiency  reports,  46. 

Enlistments  in,  40,  41,  45. 

Equipment,  method  of  packing,  865  note. 

Equipment  table,  865. 

Equipment  transferred  with,  48,  49. 

Field  kits,  865  note. 

Furloughs,  45. 

Horse  equipments,  943. 

Hospital  stewards,  33. 

Instruction  of,  131,  156,  167  to  181,  296. 

Instruction  of  dental  assistant,  42. 

Lance  corporals,  39. 

Laimdering  of  wliite  clothing,  47,  267. 

Law  establishing,  33. 

Noncommissioned  officers,  duties,  43. 


372 


INDEX. 


Hospital  Corps — Continued. 

Number  allowed,'  33. 

Personnel  for  general  hospitals,  290. 

Return  of,  50, 180. 

Sergeants  first  class  and  sergeants,  33, 34  to  36. 

Service  kits,  865. 

Sickness,  report  of,  45. 

Surplus  kits,  865  note. 

Transfers  of,  to  other  stations,  44  to  49. 

Transfers  to,  33,  40,  41. 

Sec  also  Ambuiance  Companies  and  Fidd  Boa- 
pitals. 
Hospital  Corps  Belt: 

Contents  of,  907. 

Medical  oflQcers  may  make  changes  in  contents, 
907  note. 

Transfer  of,  907  note. 
Hospital  Conncils: 

To  audit  hospital  fund,  258. 
Hospital  Employees; 

See  Civilian  Employees. 
Hospital  Fond: 

Accountability  for,  253,  260  to  262,  295. 

Audit  of,  258,  365. 

Company  fund,  equivalent  to,  251. 

Custodian  of,  252,  253,  260,  261,  295. 

Department  surgeon,  action  of,  255,  257,  259,  260, 
365. 

Durable  property  bought  with,  259  to  262. 

Expenditure  of,  251,  254,  256,  365. 

General  hospitals,  295. 

Gratuities,  255. 

Liquors,  purchase  restricted,  256. 

Mess  accounts,  237. 

Proceedings  of  council,  258. 

Purchases  with,  231,  256. 

Receipts  to  be  taken,  254. 

Sources  of,  248,  249,  331,  343. 

Statements  of,  260  to  262, 365. 

Transfer  of,  257  to  261. 
Hospital  Garden: 

Products  of,  231,  248. 
Hospital  Gardener: 

Gratuities  to,  255. 
Hospital  Laundry: 

General  provisions,  265  to  278. 

See  also  Laundry,  Hospital. 
Hospital  Matrons: 

Allowances  of,  265  to  269. 

Discharge,  268. 

Duties,  266  to  269. 

Farming  work  forbidden,  268. 

Law  authorizing,  265. 

Leave  of  absence,  268. 

Pay,  265  to  269. 

Rations,  265  to  269. 

Statement  of  work  done  by,  278. 
Hospital  Rules: 

{References  are  to  subsections  of  paragraph  279.) 

Absence  without  leave,  a  14. 

Arising,  hour  of,  a  7. 

Bedding,  squad  room,  care  of,  a  9. 

Bedding,  ward,  care  of,  6  13. 

Beds,  squad  room,  arrangement  and  care  of,  o  8, 
a  9,  a  10. 

Beds,  ward,  care  of,  b  13. 

Borrowing  from  patients,  a  1Q> 


Hospital  Rules — Continued. 

Clinical  records,  b  10. 

Clothing,  disposition  of,  a  8. 

Deaths,  6  5. 

Diet  orders,  6  2. 

Duties  of  senior  nonoommissianed  oflBcer,  o  1. 

Duties  of  those  in  charge  of  departments,  a  5. 

Emergency  squads,  a  17. 

Equipments,  disposition  of,  a  10. 

Fire,  a  18,  a  19. 

Formations,  all  to  be  present  at,  a  6. 

Gambling,  b  14. 

General  rules,  a. 

Inspections,  a  15,  a  18,  a  19. 

Kitchen  and  mess  attendants,  a  7. 

Lights,  unauthorized,  a  18,  a  19. 

Liquors,  precautions  concerning,  b  4,  b  14. 

Noncommissioned  officer  ia  charge  of  quarters, 
a  17,  a  18,  a  19. 

Patients,  care  of,  a  1,  6  8. 

Patients,  discipline  of,  6  1,  6  14,  b  15. 

Patients'  effects,  6  2,  6  9. 

Patients,    giving    information    regarding,    pro- 
hibited, 6  11. 

Patients  to  be  made  acquainted   with   ward 
rules,  b  6. 

Personal  cleanhness,  a  12. 

Poisons,  precautions  concerning,  6  4. 

Police,  o  15. 

Prescriptions  and  medicines,  6  2,  &  3. 

Profanity  in  wards,  b  14. 

Public  property,  care  of,  a  2,  a  3,  o  4,  6  2. 

Squad  rooms,  care  of,  a  11. 

Uniform,  a  13. 

Visitors,  6  12. 

Wardmaster,  duties  of,  6  1  to  6  15. 

Ward  records,  &  3,  6  10. 

Ward  rules,  6. 

Wards,  cleanliness  of,  b  2. 

Watchmen,  a  18,  a  19. 
Hospitals: 

Army  and  Navy  General,  317  to  333. 

Base,  757  to  765. 

Camp,  602  to  605. 

Contagious  disease,  767,  768. 

Department,  282. 

Evacuation,  793  to  803. 

Field,  695  to  709. 

Fort  Bayard  General,  334  to  344. 

General,  283  to  316. 

Port  of  embarkation,  609. 

Post,  280,  281. 

Prisoners  of  war,  611. 

Regimental,  632. 

See  also  imder  the  aboTe  several  heads. 
Hospital  Safe: 

Combination  of,  247. 
Hospitals,  Civilian: 

Transfer  of  patients  to,  in  the  field,  700. 
Hospital  Service: 

Admission  and  distribution  of  patients,  209  to 
211. 

Bedding,  hospital,  to  be  used  only  in  hospitals, 
523. 

Buildings,  245,  246. 

Change  of  diagnosis  cards,  212,  213. 

Civilian  emplo3'ees,  post  exchanges,  346. 


INDEX. 


373 


Hospital  Service— Continued. 
Civilian  patients,  charges  for  medinine,  242. 
Civilians,  issues  to  prevent  suilering,  244. 
Correspondence  record  and  dooumeut  lile  system, 

402  to  406.    (See  also  Correspondence.) 
Deaths,  21S,  219,  226.    (See  also  Deaths.) 
Diet  kitchens,  239. 
Dispensary  management,  240  to  244. 
Durable  property,  259  to  262. 
Effects  of  patients,  221  to  226. 
Gratuities,  255. 
Hospital  fund,  248  to  262.    (See  also  Hospital 

Fund.) 
Hospital  rules,  279.    (See  also  Hospital  Rtiles.) 
Hospital  safe,  247. 
Ice  for,  263,  264. 

Infected  property,  destruction  of,  230. 
Laimdry,  265  to  278.    (See  also  Laundry.) 
Matrons,  265  to  269. 

Medicine,  issued  or  sold  to  civilians,  242,  243. 
Mess  management,  231  to  239.    (See  also  Mess 

Management.) 
Patients,  admission  and  distribution  of,  209  to 

211. 
Patients,  appliances  transferred  with,  228. 
Patients,  civilian,  charges  for  medicine,  242. 
Patients,  clinical  records  of,  209,  279.    (See  also 

Clinical  Records.) 
Patients'  clothing,  disinfection  of,  222. 
Patients'  clothing,  laundering  of,  222,  267. 
Patients,  clothing  to  be  worn  by,  228. 
Patients,  duties  to  be  performed  by,  281. 
Patients'  effects,  221  to  226. 
Patients,  transfers  and  transfer  cards  of,  209  to 

211,  214  to  217. 
Prescriptions,  240  to  244. 
Property  brought  in  by  patients,  227,  304. 
Property,  infected,  230. 
Property,  use  and  care  of,  512  to  526. 
Regulations  for  interior  administration,  279. 
Sales  of  medicine,  disposition  of  proceeds,  243. 
Seamen,  Army  TransjMjrt  Service,  250. 
Sick  call,  206  to  208. 
Ward  morning  reports,  211. 
Ward  rales,  279.    (See  also  Hospital  Rules.) 
See  also  General  Hospitals  and  Post  HospiMs. 
Hospital  Ships: 
Command  of,  623. 

Equipment  and  supplies  for,  622,  898. 
Insignia  of,  542. 

Line  of  communications,  769,  772. 

Not  to  be  diverted  from  Medical  Department, 
549. 

I'ersonnel,  621. 

Records,  reports,  and  returns,  582,  684,  625. 

Red  Cross,  623. 

Register  of  patients  on,  584. 

Relation  to  organization  of  Medical  Department 
in  campaign,  586. 

Report  after  each  trip,  562. 

Service  of  the  interior,  619  to  625. 

Ships  for  patients,  619  to  626,  769  to  772. 

Use  and  operation  of,  624. 
Hospitals,  Ports  of  Embarkation: 

Control  of,  609. 

Establishmenc  of,  609. 

May  be  branches  of  general  hospitals,  S09. 


Hospital  Trains: 

Command  of,  616. 

Equipment  and  supplies  for,  615, 899. 

Line  of  communications,  769  to  772. 

Litter  fittings  for  box  cars,  900. 

Not  to  be  diverted  from  Medical  Department,  549. 

Personnel,  614. 

Records,  reports,  aad  returns,  562, 682, 584,  617. 

Report  after  each  trip,  562, 

Register  of  patients  on,  684. 

Relation  to  Medical  Department  organization  in 

campaign,  586. 
Service  of  the  interior,  613  to  617. 
Trains  for  patients,  613  to  617,  769  to  772. 
Hygiene: 

Instruction  in,  131,  154,  594,  634. 
Hypodermic  Syringe: 

Accessories,  956. 
Ice: 

For  hospitals,  263,  264. 
Identification  Records: 

Of  recruits,  392. 
Identification  Supplies: 
Ice,  264. 

Requisitions  for,  486,  847  note. 
Supply  table,  847. 
Identification  Tags: 

Provisions  concerning,  221,  227,  303. 
Identity,  Certificates  of: 

Provisions  concerning,  .542  to  544. 
Index  Catalogue: 

Library,  Surgeon  General's  Office,  132. 
Index  Medlcus: 

Library,  Surgeon  General's  Office,  132. 
Index  to  Register  of  Patients: 

How  made,  432. 
Individual  Dressing  Packet: 

Contents  of,  949. 
Individual  Voluntary  Aid: 
General  provisions,  537  to  541. 
Percentage  of,  that  may  be  used  in  war,  153. 
Infantry  Division: 

Administration  of  sanitary  service  of,  716  to  750. 
Infected  Clothing  and  Property: 

Treatment  of,  230. 
Infectious-Disease  Hospitals: 

See  Contagious  Disease  Hospitals. 
Infectious  Diseases: 
General  provisions,  183  to  200. 
See  also  Diseases,  Infectious. 
Infirmary,  Camp: 
General  provisions,  657  to  666. 
See  also  Camp  Infirmaries. 
Inhabitants  of  Occupied  Territory: 
Relief  of  distress  and  suffering,  75*. 
Sanitation  among,  .531,  75-t. 
Insane: 
Physical  examinations  of,  396. 
Tran.sfer  cards  of,  216. 
Insignia: 
Brassards,  542  to  544. 
Flags  ot  sanitary  service,  545. 
Sanitary  materiel,  546. 
Sanilary  persomiel,  512  to  544. 
Sanitarv  iinits,  515. 


374 


INDEX. 


Inspections: 

Ambulance  companies,  by  directors,  653. 

Di\nsional  units,  administrative,  747. 

Divisional  units,  sanitary,  744,  746. 

Equipment,  at  mobilization  camps,  694. 

Field  appliances  and  chests  at  posts,  516. 

General  liospitals,  by  officer  of  day,  300. 

Hospitals,  daily,  279. 

Instniments,  monthly,  519. 

Line  of  communications,  administrative  and  san- 
itary, 827. 

Nurse  Corps,  by  superintendent,  57. 

Posts,  by  sanitary  inspectors,  371  to  374. 

Posts,  by  surgeons.  182, 414  to  417. 

Red  Cross,  by  medical  ofScers,  536. 

Regiments,  by  surgeons,  634. 

Service  of  the  interior,  by  sanitary  inspectors,  626. 

Troops,  before  going  in  field,  589 

Troop  trains,  590. 

Venereal,  198. 

See  also  Sanitary  iTispections. 
Inspectors,  Sanitary: 

See  Sanitary  Insvectors. 
Instruction: 

Army  Field  Service  and  Correspondence  School 
147. 

Army  Mescal  Museum,  134, 135. 

Army  Medical  School,  136  to  14(3. 

Field  problems  for  medical  officers,  148  to  153. 

First  aid,  131,  155, 162, 170,  594,  634. 

Hospital  Corps,  131, 156  to  181, 296. 

Hygiene,  127, 154,  594,  634. 

Library,  Surgeon  General's  Office,  132, 133. 

Mobilization  camps,  594. 

Professional  training,  military  services,  131,  283. 

See  also  Army  Field  Service  and  Correspondence 
School,  and  Army  Medical  Schooi. 
Instrument  Case: 

Medical  officer's  belt,  919. 
Instruments: 

Cases  of,  receipts  for,  498. 

Examinations  of,  monthly,  519. 

Meteorological,  527. 

Removal  from  hospital,  613. 

Repair  of,  521. 

Rust,  prevention  of,  520. 
Intercurrent  Diseases: 

Record  of,  on  register  of  patients  and  reports  of 
sick  and  wounded,  446,  449,  462. 
Invoices: 

Articles  purchased,  378,  476. 

Articles  transferred,  496  to  499,  503,  551. 

As  requisitions,  783. 

Broken  packages,  503. 

Nomenclature,  475. 

To  conform  to  supply  tables,  476. 

Unserviceable  articles,  499. 
Kits,  Service: 

Hospital  Corps,  805. 
Laboratories,  Department: 

C.eneral  promions,  351  to  360. 

See  also  Department  Laboratories. 
Laboratories,  Field: 

General  provisions,  778,  779. 

See  also  Field  Laboratories. 
Laboratories,  Hospital: 

Supplies  for,  816. 


Laborers: 

See  Civilian  Employees. 
Labor  Regulations: 

See  Civilian  Employees. 
Lance  Corporals: 

Appointment  of,  39. 

See  also  Hospital  Corps. 
Laundry,  Hospital: 

Accounts  for,  271,  272,  274,  277,  278. 

Advertising  for  proposals  for,  272,  273. 

Bedding,  266,  523. 

Blankets,  523. 

Bonds  for  contracts  for,  276. 

Canvas  for  Utters,  526. 

Contracts,  274  to  276. 

Cost  of,  269. 

Definition  of  what  comprises,  267. 

Excess,  not  done  by  matron,  269,  270,  278. 

Matron  to  do  not  less  than  500  pieces,  266. 

Nurses'  quarters,  Unen  from,  80. 

Nurses'  uniforms,  96,  267. 

Patients'  clothing,  222,  267. 
Leaves  of  Absence: 

Civilian  employees,  129. 

Matrons,  hospital,  268. 

Nurse  Corps,  56,  76,  89  to  92. 

Record  of,  on  register  of  patients,  428,  450. 

Sick  leaves,  officers,  physical  examinations  for, 
388. 
Lenses,  Trial,  Case  of: 

Contents  of,  926. 
Library,  Surgeon  General's  Office: 

General  provisions,  132,  133. 

Part  of  educational  system,  131. 
Line  of  Communications: 

Administration  of  sanitary  service  of,  813  to  827. 

Advance  section,  752,  815. 

Base  section,  752. 

Description  of,  629,  751  to  753. 

Divisions  of,  753,  756. 

Inhabitants  of  occupied  territory,  754,  755. 

Intermediate  section,  752,  815. 

May  act  in  the  zone  of  the  advance,  726,  752,  809. 

Medical  Department  units  on,  756. 

Medical  service  of,  751  to  827. 

Mission  of  the  sanitary  service  of,  628,  754,  755» 
826. 

Relation  to  other  zones,  586. 

What  constitutes,  751. 
Line  of  Duty: 

Record  of,  on  daily  sick  report,  207. 

Record  of,  on  register  of  patients,  448,  449. 
Liquors: 

In  storerooms,  514. 

Prescriptions  for,  to  be  kept  on  separate  file,  240. 

Purchase  of,  with  hospital  fund,  256. 
List  of  Sick  and  Wounded: 

Cases  to  be  entered  on,  570,  577,  579. 

Casualties  in  action,  method  of  entering,  679. 

Disposition  of,  578. 

Evacuation  ambulance  companies,  581. 

Hospital  trains  and  hospital  ships,  582. 

Number  of  copies  required,  578,  579. 

Stations  for  slightly  wounded,  580. 

Use  of,  in  making  nominal  Ust  of  patients  trans- 
ferred, 583. 

Use  of,  in  making  returns  of  casualties,  579. 


INDEX. 


375 


List  of  Sick  and  Wounded— Continued. 
Use  of,  to  check  list  of  soldiers  reported  as  missing, 

579. 
"With  the  command,"  meaning  of,  577. 
Litters: 
Canvas  for,  repairing  and  washing  of,  526. 
Fittings  for  freight  cars,  900. 
Issue  of,  to  line  troops,  845  note,  866  note. 
Number  issued  to  different  arms  of  service,  866. 
Transportation  of,  on  the  march,  866  note. 
Wounded  on,  when  to  be  removed  from,  689. 
Loading  of  Mnles  and  Wagons: 
Camp  infirmary,  873. 
Camp  infumary  reserve,  873. 
Dressing  station,  878. 
Field  hospital,  883. 
Regimental  combat  equipment,  868. 
Regimental  hospital,  873. 
Malarial  Register: 

Provisions  concerning,  195  to  197. 
Malingering: 

Record  of,  on  register  of  patients,  456. 
Marine  Corps: 
Patients  at  Army  and  Navy  General  Hospital, 

325,  327,  329. 
Patients  at  Fort  Bayard,  335,  341. 
Marriages: 

Record  of,  on  reports  of  sick  and  wounded,  469. 
Matrons,  Hospital: 
General  provisions,  265  to  269. 
See  also  Hospital  Matrons. 
Measles: 

Report  of  appearance  of,  201. 
Medical  and  Sni^Ical  Chest: 

Contents  of,  932. 
Medical  and  Surgical  Chest,  Supplementary: 

Contents  of,  933. 
Medical  Attendance: 
Civilian  employees  of  post  exchanges,  346. 
FamiUes  of  officers  and  enlisted  men,  346. 
Inhabitants  of  occupied  territory,  7S5, 
March,  on  the,  638. 
Nurse  Corps,  56,  86  to  88. 
Private  practice  of  medical  offloers,  347. 
Refusal  of  treatment,  220. 
Seamen,  Transport  Service,  250. 
Medical  Books,  Box  of: 

Contents,  908. 
Medical  Corps: 
Allowances,  2. 
Appointments  in,  2  to  9. 
Army  Medical  School,  qualified  candidates  to 

attend,  8. 
Candidates  for,  pay  and  allowances,  8. 
Constitution  of,  2. 
Discharges  from,  2. 
Examinations  for  appointment  in,  preliminary 

and  final,  2  to  7,  9. 
Examinations  for  promotion  in,  10, 11. 
Exi)enses  of  candidates  for  appointment,  3,  8. 
Law  establishing,  2. 
Pay,  2. 

Promotions,  2, 10, 11. 
Qualifications  for  appointment  in,  3. 
Rank,  2. 
Retirement,  2. 


Medical  Department: 

Constituents  of,  1,  532. 

Distribution  in  campaign,  585,  586. 

Duties,  educational,  131. 

Duties  in  the  field,  148,  531,  627  to  629. 

Duties  of,  general,  1, 148. 

Organization,  field,  585,  586. 

Organization,  general,  1. 

Personnel,  153,  532,  533.    (See  also  Sanitary  Per- 
sonnel.) 

Purpose  of,  in  war,  530. 
Medical  History  of  Post: 

Binder  for,  844. 

General  pro\isions,  412. 

Punch  for  perforating  leaves  of,  844. 

Sanitary  report  filed  in,  414. 

Sick  and  wounded,  report  sheet,  filed  in,  460. 
Medical  Inspections: 

See  Inspections. 
Medical  Inspectors: 

See  Sanitary  Inspectors. 
Medical  Officers: 

Accountability  of,  for  medical  property,  301  to  503, 
507,508. 

Administrative  capacity,  361,  363. 

Advisory  capacity,  361,  363. 

Army  Medical  School,  in  attendance  Ert,  143  to  145. 

Changes  of  station  or  status,  reports  of,  12,   13. 

Deaths  of,  reports  of,  218,  219. 

Disbursing  officers.    (See  Disbursing  Officers.) 

Duties  of,  general,  361  to  363. 

Equipment  table,  864. 

Field  problems  for,  148  to  153. 

Field  ser\ice  and  correspondence  school  for,  147. 

Personal  reports  of,  12, 13, 18, 19. 

Private  practice  of,  347. 

Reports  and  returns  by,  398. 

ResponsibiUty  of,  for  imsanitary  conditions,  362. 

Sanitary  duties,  182. 

Titles  of,  534. 

Training  of,  148,  157,  283. 

Transport  service,  381. 

Volunteer,  14. 

See  also  Dental  Corps,  Medical  Corps,  and  Medical 
Reserve  Corps. 
Medical  Officer's  Belt: 

Contents  of,  864. 

Instrument  case,  contents  of,  919. 

Medicine  case,  contents  of,  920. 
Medical  Officers,  Organized  Militia: 

At  Army  Medical  School,  142, 145. 
Medical  Property: 

Abandonment  of  posts,  disposition  of,  511. 

Accountabihty  for,  380,  497,  501  to  508,  633. 

AppUances  issued  to  or  transferred  with  patients, 
228,229. 

Army  Medical  School,  141. 

Bedding,  use  of  by  Hospital  Corps,  523. 

Blankets,  airing,  inspection,  and  laundry  of,  523. 

Books  loaned  to  medical  officers,  134,  513. 

Bougies,  preservation  of,  525. 

Canvas  for  Utters,  washing  and  replacing,  526. 

Care  of,  512  to  526. 

Catheters,  preservation  of,  525. 

Cleaning  mixtures,  518. 

Cosmetics,  518. 


376 


INDEX. 


Medical  Property— Continued. 

Examinations  of,  annual,  512. 

Exchange  with  druggists,  517. 

Field  appliances  and  chests,  inspections  of,  at 
posts,  516. 

Field  equipment  will  not  be  used  at  posts,  516. 

Furniture,  repair  of,  522. 

Instruments,  monthly  examinations  of,  619. 

Instruments,  prevention  of  rust,  520. 

Instruments,  repair  of,  521. 

Perfumery,  518. 

Removal  from  posts,  613. 

Returns  of,  507, 508.    (See  also  Returns  of  Medical 
Property.) 

Sales,  509,  510. 

Typewriters,  packing  of,  524. 

Unser\iceable,  499,  510,  511. 

See  also  Field  Medical  Supplies  and  Medical  Sup- 
plies. 
Medical  Reserve  Corps: 

Addresses,  changes  of,  inactive,  19. 

Allowances,  8, 14. 

Appointments  in,  8, 14  to  16. 

Assignment  to  active  duty,  9, 14, 17. 

Authority  of  officers  of,  14. 

Discharge,  14,  143. 

Forfeiture-of  commission,  14. 

Law  establishing,  14. 

Pay,  8, 14. 

Pension,  14. 

Personal  reports  of,  18, 19. 

Physical  examination  upon  assignment  to,  and 
reliejE  from,  active  duty,  17. 

Qualifications  for  appointment  in,  14  to  16. 

Rank  of  officers  of,  14. 

Relief  from  active  duty,  14. 

Retirement,  14. 

Use  of  personnel  of,  in  war,  687. 
Medical  Reserve  Unit: 

Composition  of,  891. 

Deflnition  of,  890. 

Number  at  advance  depot,  788. 

Number  at  base  depot,  782. 

To  be  kept  in  store  in  time  of  peace,  890. 
Medical  Superintendents,  Army  Transport  Serv- 
ice: 

Surgeon,  port  of  embarkation,  to  act  as,  610. 

To   report   Medical   Department   personnel   on 
transports,  424. 
Medical  Supplies: 

Accountability,  380,  497,  501  to  508,  633. 

All  necessary  articles  for  military  service  included 
in  supply  tables,  474. 

Allowances  of,  see  Supply  Tables. 

Apparatus  and  appliances,  improvement  of,  474. 

Care  and  use  of,  512  to  526. 

Care  necessary  in  receiptmg  for  cases,  chests,  etc., 
498. 

Defects  in  quality,  quantity,  and  packing  to  be 
reported,  500. 

Dental  surgeons,  issues  of  post  supplies  to,  491. 

Distribution  in  the  zone  of  the  advance,  655. 

Distribution  of  field  suppUos  in  time  of  peace, 
504  to  506. 

For  general  hospitals,  286. 

General  provisions  eoncerning,  474  to  627,  651  to 
555. 


Medical  Sapplles — Conthmed. 

Improvement  of,  474. 

In  combat,  replenislmient  of,  551, 858. 

Maximum  and  Tninimnm  list  of,  782,  788,  830. 

New  remedies,  474. 

Nomenclature,  476. 

Packing,  methods  and  defects,  500, 863. 

Purchases  of,  476.    (See  also  Purchases.) 

Requisitions  for,  477  to  ^5,  551  to  653.    (See  also 
RequisitioTis.) 

Transfer  of,  496  to  500. 

Transportation  of,  549,  554. 

See  also  Field  Medical  Supplies,  Medical  Prop- 
erty,  and.  Supply  Tables. 
Medical  Supply  Depots: 

Additional,  to  be  established  in  time  of  war,  612. 

Advance  medical  supply  depot,  787  to  792. 

Augmentation  of,  in  war,  587. 

Base  medical  supply  depot,  782  to  786. 

Correspondence  record  and  document  file  system, 
380,  402,  406,  406,  564. 

Purchases  at,  476,  488,  786. 

Records,  reports,  and  returns,  563. 

See  also  Advance   Medical  Supply  Depots  and 
Base  Medical  Supply  Depots. 
Medical  Suppiy  OfiScers: 

Action  on  approved  requisitions,  488,  552. 

Duties  of,  380,  476,  488,  782  to  792. 

See  also  Medical  Supply  Depots. 
Medical  Supply  Tables; 

See  Equipment  Tables  and  Supply  Tables. 
Medicinal  Preparations,  NonoflSclal: 

Formulse  of,  902. 
Medicine  Case,  Medical  Officer's: 

Contents  of,  920. 
Medicines: 

Alcohol  and  alcoholic  liquors,  240, 241, 614. 

Exchange  of,  with  druggists,  517. 

Formul.e  of  nonolFicial  compounds,  902. 

nabit-forming  drugs,  240,  241,  514. 

Issues  and  sales  to  civilians,  242  to  244. 

Liquors,  240,  241,  514. 

Method  of  accounting  for,  240,  514. 

Poisons,  240,  241,. 514. 

Prescriptions  for,  240. 
Mess: 

Kitchen  and  mess  attendants,  279. 

Pro\asions  concerning,  234,  236,  237. 
Mess  Chest: 

Contents  of,  934. 
Messengers: 

Employment  of,  103, 108, 113. 
Mess  Management: 

General  hospitals,  295. 

Pro\'isions  concerning,  231  to  239,  255. 

See  also  Hospital  Fund. 
Meteorological  Observations: 

Apparatus  for  and  reports  of,  527. 
Metric  System: 

To  be  used  in  prescriptions,  240. 
Microscope,  Field,  with  Accessory  Case: 

Contents  of,  950. 
Microscope,  Post: 

Contents  of,  951. 
Microscopical  Supplies,  Supplementary 

Contents  of  case,  921. 


INDEX. 


377 


HUltla  Officers: 

At  Army  Medical  School,  allowances,  expenses, 
graduation,  etc.,  145. 
HUltla  Patients: 

Record  of,  on  register  of  patients  and  report  of 
sick  and  wounded,  438. 
Mineral  Oil: 

Requisitions  for,  486. 
Mobilization: 

Department  sanitary  inspector's  duty  regarding 
plans  for,  371. 

Department  surgeon's  duties  regarding,  366,  370. 

Medical  Department  at  camps  of,  594. 

Of  the  Organized  Militia,  592  to  594,  832,  833. 

Of  the  Regular  Army,  831, 833. 
Mobilization  Camps; 

Camp  hospitals  for,  596. 

Definition  of,  592. 

Duties  of  department  surgeons  concerning,  366. 

Equipment  for,  596. 

Equipment  of  individuals  and  organizations  at, 
5S4. 

Instruction  at,  594, 

Letters  and  reports,  595. 

Physical  examinations  at,  594. 

Sanitary  service  at,  control  of,  593, 

Sick  call,  supplies  for,  597. 

Surgeons  of,  593,  597. 

Vaccinations  at,  594. 
Money  of  Dead  and  of  Pattents: 

See  Effects  of  Dead  and  of  PatzetUa. 
Morning  Reports  of  Sick: 

Provisions  concerning,  208. 
Morning'  Reports  of  Wards: 

Provisions  concerning,  209  to  211. 
Mules,  Pack: 

Directions  for  loading,  868, 878, 953. 
Museum,  Army  Medical: 

General  provisions,  134, 135.    . 

See  also  Army  Medical  Mvaeum. 
National  Red  Cross: 

See  Red  Cross. 
Navy : 

Patients  at  Army  and  Navy  General  Hospital, 
325,  327, 329. 

Patients  at  Fort  Bayard,  335, 341. 
Nomenclature  of  Diseases: 

For  register  of  dental  patients,  470. 

For  register  of  patients,  455. 
Nomenclature  of  Supply  Tables: 

To  be  followed  on  supply  papers,  475, 484, 
Nominal  Check  Lists: 

With  reports  of  sick  and  wounded,  467, 4fi0. 
Nominal  Lists: 

Of  patients  transferred,  583, 584. 
Nose,  Ear,  and  Throat  Case: 

Contents  of,  912. 
Nurse  Corps: 

Allowances,  56,  80  to  90. 

Appointments,  56,  57,  62  to  67. 

Assignments,  o'J,  74  to  77. 

Badge,  97. 

Changes  of  station  or  status,  reports  of,  76, 100. 

Chief  nurses,  56  to  61,  78  to  80,  311. 

Chief  nurses'  assistants,  315. 

Commutacion  of  quarters,  56. 

Commutation  of  rations,  81, 328. 


Nurse  Corps— Continued. 

Constitution  of,  56. 

Deaths,  reports  of,  100. 

Dietists,  239,  290. 

Discharges  from,  56,  57, 60,  68  to  73, 87, 100. 

Discipline,  57. 

Duties,  311  to  314. 

Efficiency  reports,  99. 

Examinations,  candidates  for  appointment  and 
promotion,  56,  57,  59,  63,  64,  396. 

Head  nurse,  313. 

Inspections  by  superintendent,  57. 

Laimdering  of  uniforms,  96, 267. 

Law  establishing,  56. 

Leaves  of  absence,  56,  76,  89  to  92. 

Letterof  appointmentjindorsements  on,  76, 79, 88. 

Medical  attendance  to  members  of,  56,  86. 

Mess,  81. 

Misconduct,  60,  68,  69,  71,  73. 

Pay  and  payments,  56,  61,  78,  79. 

Personnel  for  general  hospital?,  289. 

Physical  examination  on  first  joining,  74. 

Promotions  to  chief  nurse,  57  to  59, 61. 

QuaUfications  for  appointment,  56,  62  to  64,  67.    -» 

Quarters,  56,  80,  311. 

Record  of  assignment  and  pay,  76. 

Reports  and  returns,  60, 75, 76, 98  to  100. 

Reserve  nurses,  56, 102. 

Resignations,  68,  70, 71. 

Sickness  of  nurses,  to  be  reported  to  surgeons,  311. 

Stations  and  tours  of  duty,  74  to  77. 

Subsistence,  56,  81,  328. 

Superintendent,  56, 57. 

Supervising  night  nufjse,  312. 

Surplus  nurses,  75. 

Transfers  of  nurses,  .57,  76,  77,  99, 100. 

Transportation  and  traveling  exx)enees,  56,  72,  73, 
82  to  85. 

Uniforms,  93  to  97,  267. 

Vaccination  of,  88. 
Nurses: 

Female  (not  in  Nurse  Corps),  103  to  107. 

Hospital  Corps  privates  to  do  duty  as,  33. 

Male,  103  to  107. 

Red  Cross,  536. 

Reserve,  102. 

Volunteers  for  field  service,  537  to  541. 

See  also  Nurse  Corps. 
Obstetrical  Bag: 

Contents  of,  905. 

Officers: 

At  Army  and  Navy  General  Hospital,  see  Army 
and  Navy  General  Hospital. 

At  Fort  Bayard,  see  Fort  Bayard. 

Deaths  of,  reports  of,  218,  219. 

Line  or  staff,  detailed  with  Medical  Department, 
532 

Medical,  see  Medical  Officers. 

Militia,  see  Militia  Officers. 

Physical  examinations  of,  384,  385,  386  to  390,  396. 
(See  also  Physical  Examinations.) 

Sick  in  quarters,  350. 
Oil,  Mineral: 

Requisitions  for,  486. 
Operating  Case,  General: 

Contents  of,  916. 


378 


INDEX. 


Operating  Case,  Pocket; 

Contents  of,  923. 
Operating  Case,  Small: 

Contents  of,  922. 
Operations,  Dental: 

Abbreviations  for,  471. 
Operations,  Snrglcal: 

Record  of,  on  register  of  patients,  449. 

Reports  of,  418  to  420. 
Opium: 

Precautions  regarding,  240,  241,  514. 
Ordnance  Department  Property: 

Brought  in  by  patients,  227,  040,  649. 

Reports  and  returns,  227,  398. 
Ordnaae*  Department  Supplies: 

Horse  equipments  for  Hospital  Corps,  943. 

See  also  Equipment  Tables. 
Organization  of  Medical  Department: 

In  time  of  war,  586. 

See  also  Medical  Department. 
Organized  HUltla: 

At  mobilization  camps,  592  to  597. 

Mobilization  of,  592,  832. 
>.    Physical  examinations  of,  396. 
Pack-Animal  Equipment: 

Boxes  for,  909. 

Saddle  and  accessories,  953. 
Packers,  Civilian: 

Employment  of,  103, 108, 113. 
Packers'  Lists: 

Use  of,  496. 
Packsaddle: 

Boxes  for  use  with,  909. 

Directions  for  use  of,  953. 

Saddle  and  accessories,  953. 
Paquelln's  Thermocautery: 

Contents  of,  957. 
Paratypliold  Fever: 

Diagnosis  of,  190. 

Reports  of,  201  to  203. 

Study  of,  190. 
Pathological  Specimens: 

See  Specimens. 
Patients; 

Arms  and  equipment,  disposition  of,  on  the  field, 
649. 

Arms  and  equipment,  disposition  of,  on  the  march 
640. 

Disposition  of,  on  the  march,  638,  639,  641. 

Effects  of,  221  to  226.    (See  also  Effects  of  Patients.) 

Horses,  disposition  of,  640. 

See  also  HospUal  Rules,   Hospital  Service,  and 
Medical  Attendance. 
Patients,  Dental  Register  of: 

Rules  for  keeping,  465  to  472. 
Patients,  Register  of: 

General  provisions,  427  to  456. 

See  also  Register  of  Patients. 
Pay: 

Candidates  for  Medical  Corps,  8. 

Civilian  employees,  IM,  105, 106, 110, 113, 117. 

Contract  surgeons,  51,  52. 

Dental  Corps,  20. 

Hospital  matrons,  265  to  269. 

Modical  Corps,  2. 

Medical  Reserve  Corps,  14. 

Nurse  Corps,  56,  61,  78,  79. 


Perfumery: 

Issue  of  medical  property  for,  filS. 
Personal  Reports: 

Acting  dental  surgeons,  32. 

Contract  surgeons,  55. 

Dental  surgeons,  32. 

Medical  Corps,  12, 13. 

Medical  Reserve  Corps,  18, 19. 
Personal,  Sanitary: 

In  time  of  war,  153,  532. 

See  also  Sanitary  Personnel. 
Photographic  Supplies: 

Ice,  264. 

Requisitions  for,  486. 

Supply  table,  847. 
Physical  Examinations; 

Acting  dental  surgeons,  for  contract,  24. 

Applicants  for  enlistment,  391. 

Array  and  Navy  General  Hospital,  for  admission, 
396. 

Army,  commissions  in,  384. 

At  concentration  camps,  599. 

At  mobOization  camps,  694. 

Aviation  service,  389,  395. 

Cadets  at  Military  Academy,  383. 

Civilians,  preparatory  to  field  service,  589,  594. 

Color  sense,  vision,  and  hearing,  397. 

Contract  surgeons,  for  appointment,  53. 

Dental  Corps,  candidates  for  commission,  28. 

Deserters,  393. 

Enlisted  men,  aviation  service,  395. 

Enlisted  men,  for  discharge,  394. 

Enlisted  men,  identification  record,  392. 

Fort  Bayard,  for  admission,  396. 

Hearing,  color  sense,  and  vision,  397. 

Hospital  Corps,  for  sergeants  first  class  and  ser- 
geants, 35. 

Insane,  for  admission  to  Government  Hospital, 
396. 

Medical  Corps,  candidates  for  commission,  5,  9. 

Medical  Corps,  for  promotion,  11. 

Medical  Reserve  Corps,  candidates  for  commis- 
sion, 16. 

Medical  Reserve  Corps,  on  first  assignment  and 
upon  discharge,  17. 

Military  Academy,  cadets,  383. 

Military  Academy,  candidates,  382. 

Nurse  Corps,  for  appointment,  63. 

Nurse  Corps,  on  first  assignment,  74. 

OflTicers,  annual,  390. 

Officers,  aviation  service,  389. 

Officers,  promotion,  386. 

Officers,  retirement,  387. 

Officers,  sick  leave,  388. 

Organized  Militia,  396,  594. 

Troops,  preparatory  to  field  service,  589. 

Vision,  color  sense,  and  hearing,  397. 

Volimteers,  commissions  in,  385. 
Plaster,  Adhesive: 

Issue  of,  to  line  troops,  845  note. 
Pocket  Case: 

Contents  of,  923. 
Poisoning: 

Record  of,  on  register  of  patients,  456. 
Poisons: 

Precautions  concerning,  240,  241,  279,  514. 


INDEX. 


379 


Portable  Deutal  Outfit: 

Contents  of,  854. 
Post  Exchanges: 

Di\'ldends,  248,  249. 

Medical  and  hospital  care  of  civilian  employees  of, 
346. 
Post  Gardens: 

Dividends,  248. 

Gratuities  to  gardener,  255. 
Post  Hospitals: 

Augmentation  of,  in  war,  587. 

Patients  may  be  given  light  employment,  281. 

Reports  and  returns,  281, 398. 

Surgeon's  duties,  281. 

Siu-geon's  relation  to  post  commander,  281. 

See  also  Hospital  Service. 
Post  Medical  Supplies: 

Based  on  population,  842. 

Identification  supplies,  847. 

Laboratory  supplies,  846. 

Medicines  and  antiseptics,  843. 

Miscellaneous  supphes,  845. 

Requisitions  tor,  477  to  488, 

Stationery,  844. 

X-ray  supplies,  848. 

See  also  Medical  Supplies,  Begvisitions,  ^)d  Re- 
turns of  Medical  Property. 
Post-Mortem  Case: 

Contents  of,  924. 
Posts,  Abandonment  of: 

Disposition  of  medical  property,  51L 

Records  and  reports,  425. 
Posts,  Medical  Histories  of: 

General  provisions,  412. 

See  also  Medical  History  of  Post. 
Posts,  Supplies  for: 

Table,  842  to  848. 

See  also  Post  Medical  Supplies. 
Prescriptions: 

Books  for  filing,  844. 

Provisions  concerning,  240  to  242. 
Prisoners  of  War: 

Captured  sanitary  personnel,  547. 

Hospitals  for,  586,  611. 
Private  Practice: 

Of  civilian  practitioners  on  military  reservations, 
348. 

Of  medical  officers,  347. 
Private  Property: 

Of  patients.in  hospitals,  and  en  route  to  hospitals, 
221  to  226,  279,  293,  301,  303. 
Privates,    and    Privates   First    Class,    Hospital 
Corps: 

See  Hospital  Corps. 
Promotion: 

Civilian  employees,  113  to  118, 125. 

Dental  Corps,  20,  26. 

Medical  Corps,  2,  10,  11. 

Niu-se  Corps,  57  to  59,  61. 

Physical  examinations  of  officers  for,  386. 
Property  Cards: 

How  used,  221,  227,  303. 

Property,  Dental: 

Returns  of,  508. 


Property,  Durable: 

General  provisions,  269  to  261. 

Sales  of,  248. 

See  also  Hospital  Fund. 
Property,  Medical: 

See  Medical  Property. 
Property,  Private: 

See  Private  Property. 
Property,  Public: 

See  Public  Property. 
Property  Returns: 

See  Returns  and  Returns  of  Medical  Property. 
Prophylaxis  Unit,  Venereal: 

Contents  of,  958. 
Publication: 

Articles  for,  423. 
Public  Health  Service: 

Admission  of  officers  of,  to  Army  and  Navy  Gen- 
eral Hospital,  326. 
Public  Property: 

Arms  and  equipments  of  patients  separated  from 
their  commands,  640,  649. 

Care  of,  in  hospitals,  279,  512  to  526. 

Destroyed  to  prevent  contagion,  230. 

Disinfection  of,  230. 

Transferred  with  Hospital  Corps  men,  48,  49. 

With  patients  admitted  to  hospitals,  227, 279, 304. 

See  also  3fedical  Property  and  Returns  of  Property^ 
Purchases: 

Antitoxins,  843  note. 

Army  and  Navy  General  Hospital,  subsistence 
stores,  332. 

Army  Medical  School,  141. 

Authority  for,  476,  786. 

Base  medical  supply  depots,  786. 

Depots,  -176,  488,  786. 

Dm'able  pi  operty,  259. 

Hospital  fund,  231,  256,  259. 

Ice,  264. 

Invoices  of  articles  purchased,  377,  476. 

Local  and  post,  476. 

Serums,  843  note. 

Surgeon,  base  group,  to  authorize  when,  786,  819. 

Unauthorized,  476. 
Pus: 

Laboratory  examination  of,  352. 
Quartermaster  Corps: 

Allowance  of  men  for  general  hospitals,  289. 

Duties  of  the  several  grades,  289. 
Quartermaster  Corps  Reports  and  Returns: 

From  Medical  Department  units  in  the  field,  558. 
Quartermaster  Property: 

Brought  in  liy  patients,  227,  304,  640,  649. 
Quartermasters: 

Of  general  hospitals,  290,  294. 
Quarters: 

Civilian  employees,  103, 107, 

Niu-se  Corps,  56,  80,  311. 

Sergeants  first  class,  Hospital  Corps,  245. 
Railway  Cars: 

Capacity  of  different  classes  of,  876  note. 
Rations  in  Kind: 

Civilian  employees,  105, 106, 

Hospital  matrons,  265, 266. 

Hospitals,  when  to  be  issued,  232. 

Nurse  Corps,  81. 

See  also  Commutation  of  Rations  and  Subsistence. 


380 


INDEX. 


Becelpts: 

For  hospital-fund  x)ayments,  254, 261. 

For  medical  supplies  transferred,  475,  496  to  500, 
503,  551. 

For  meteorologii-al  instruments,  5'27. 
Records,  Reports,  and  Returns  from  the  Several 
Medical  Offices  and  Organizations: 

.\mbulance  companies,  103,  165,  562,  680,  684. 

Army  Medical  School,  139. 

Attending  surgeons,  375. 

Base  medical  supply  depots,  563,  782. 

Chief  surgeons,  field  army,  S30. 

Convalescent  camps,  608. 

Department  laboratories,  360. 

Department  sanitary  inspectors,  373,  374. 

Department  surgeons,  365,  369,  370. 

Detixchment  eonxmanders,  40,  41,  45  to  47,  49,  50, 
17S. 

Diiectors  of  ambulance  companies  and  field  hospi 
tals,  652,  654. 

Disbursing  officers,  379. 

Division  sanitary  inspectors,  747,  748. 

Division  stu'geons,  561,  573,  744. 

Evacuation  ambulance  companies,  562,  583. 

Evacuation  hospitals,  562,  803. 

Field  hospitals,  163,  165,  562,  704,  709. 

General  hospitals,  287,  292,  293,  294,  296,  299,  302. 

Hospital  ships,  562,  583,  584,  625. 

Hospital  trains,  562,  583,  584,  617. 

Medical  superintendents.  Army  Transport  Serv- 
ice, 424. 

Medical  supply  depots,  380,  563. 

Medical  supply  officers,  380,  782. 

Post  hospitals,  281. 

Ships  for  patients,  562,  583,  584,  625. 

Stations  for  slightly  wounded,  580,  713. 

Sursjeons,  base  group,  561,  788,  819. 

Surf^eons  of  posts,  281. 

Trains  for  patients,  562,  583,  584,  617. 

See  also  Correspondencr . 
Records,   Reports,   and   Returns,   General  Pro- 
visions: 

Abandonment  of  posts,  426. 

Authentication  of,  400. 

Births,  401. 

Channels  through  which  forwarded  in  the  field, 
557. 

Deaths,  401. 

Disposition  of  old  records,  426,  566. 

Disposition,  on  abandonment  of  posts,  425. 

Field  commands,  556  to  584. 

General  article  on,  398  to  473. 

Indelible  pencil,  use  of,  in  preparation  of,  565. 

LLst  of,  those  required  in  war,  558. 

List  of,  usually  required  from  posts,  398, 399. 

Harrises,  450. 

Special  reports  and  articles  for  publication,  421 
to  423. 
Recruiting  Outflt,  Emergency: 

Contents  of,  952. 
Recruits: 

Identification  record,  392. 
Red  Cross: 

Application  for  services,  by  Secretary  of  War, 

5t)3ft. 
Brassards  an<l  certificates  of  Identity  for,  636c, 
542  to  544. 


Red  Cross — Continued. 

Character  of  employment,  536d. 

Constitutes  part  of  sanitary  service,  532,  536a. 

Director  general  to  sui)ervise,  536j. 

Disciplme,  536c,  536/. 

Emblem,  546. 

Equipment,  536^. 

Field  columns,  153,  536k,  536«. 

Flag,  545. 

Forage,  536«. 

General  provisions,  535,  536. 

Hospital  columns,  153,  290,  536k,  536to. 

Information  biu^eau  sections,  536fc,  536o. 

Insignia,  542,  545,  546. 

Medical  officers  to  command,  536/. 

Medical  officers  to  inspect,  536j,  536p. 

Not  to  establish  independent  institutions,  536e. 

Nurses,  reserve,  102. 

Personnel,  classes  of,  furnished,  536/!. 

Personnel,  classification  of,  for  training,  536t. 

Personnel,  for  general  hospitals,  289. 

Personnel  subject  to  military  laws  and  regula- 
tions, 536c. 

Personnel,   transportation   and   subsistence   of, 
536r. 

Personnel,  use  of  in  war,  587. 

Protection  afforded  by,  547  to  550. 

Quarters,  536<. 

Register  in  Surgeon  General's  Ofiice,  536p. 

Regulations,  536. 

Reserve  nurses,  102. 

Supplies,  transportation  of,  536r. 

Supply  columns,  536k,  536n. 

Training  of,  536i. 

Uniform,  536?. 
Reduction: 

Chiefnurses,57,  60. 

CivUian  employees,  105,  106,  110, 113,  116,  to  118, 
126. 
Regimental  Aid  Station: 

General  provisions,  633,  642  to  660. 

See  also  Aid  Station. 
Regimental  Ambulances: 

Station  on  march,  637  to  639. 
Regimental  Combat  Equipment: 

Articles  kept  in  store,  866. 

Articles  not  kept  in  store,  867. 

Distribution  of,  in  peace,  504  to  506. 

How  carried,  633,  866  notes,  807  notes,  868. 

Loading  table  lor  mule,  868. 

Supply  table,  866,  867. 

Use  of,  except  in  combat,  prohibited,  633. 

Weight  carried  by  pack  animal,  8GS. 

Weight  of,  as  stored,  866. 
Regimental  Hospital  Equipment: 

As  a  nucleus  for  camp  hospital,  604,  886. 

Camp  infirmary  equipment  as  a  nucleus,  872. 

Cubic  measurement  as  stored,  872. 

Distribution  of,  in  time  of  peace,  504  to  506. 

One  equipment  "A"  to  be  kept  in  each  medical 
reserve  unit,  891  note. 

Supply  table,  872. 

Weight  carried  by  wagon,  873. 

Weight  of,  as  stored,  872. 
Regimental  Medical  Service: 

Aid  stations,  042  to  050. 

Disposition  of  sick  on  the  march,  637  to  64i. 


INDEX. 


381 


Begimental  Medical  Service — Continued. 

Duties  of  regimental  sanitary  detachment,  035, 
&12, 643. 

Duties  of  regimental  surgeons,  634,  647. 

Equipment,  distribution  of,  in  peace,  504  to  506. 

Equipment  for,  632, 633. 

In  camp,  634. 

In  combat,  642  to  650. 

On  the  march,  635  to  641. 

Personnel  for,  631. 

Sanitary  squads  prohibited,  777. 

Stations  of  sanitary  personnel  in  combat, 636. 

Stations  of  sanitary  personnel  on  the  march,  636. 

With  cavalry  divisions,  742. 
Register,  Malarial: 

Provisions  concerning,  195  to  197. 
Register  of  Dental  Patients: 

Rules  for  keeping,  465  to  472. 
Register  of  Patients: 

Additions  to  and  alterations  of,  436. 

Admission,  cause  of,  446, 455, 456. 

Admission,  date  of,  433. 

Admission,  source  of,  445. 

Age  of  patients,  439. 

Applicants  for  enlistment,  description  of,  438. 

Authentication  of,  435. 

Capture  of  patient,  record  of,  450. 

Cards  to  be  continued  until  cases  are  completed, 
433. 

Cards  to  be  made,  when,  208, 209, 210, 217, 431, 432. 

Cases  to  be  carded,  217, 428  to  431. 

Cause  of  admission,  446, 455. 

Cause  of  admission,  special  requirements  concern- 
ing, 456. 

Change  of  status,  patients  in  hospital,  new  cards 
required  when,  431. 

Civilian  patients,  description  of,  438. 

Classification  of  cards,  453. 

Company  of  patient,  record  of,  438. 

Completion  of  case,  what  constitutes,  450. 

Complications,  sequelae,  etc.,  record  of,  449. 

Corps  of  patient,  record  of,  438. 

Corrections  of,  436. 

Death  of  patient,  record  of,  428,  450. 

Dental  cases,  when  to  be  carded  on,  430. 

Description  of  patient,  438. 

Desertion  of  patient,  record  of,  450. 

Diagnosis,  change  of,  211  to  213,  449. 

Diagnosis,  record  of,  446,  455,  456. 

Disabilities,  rule  for  recording,  455,  456. 

Discharged  soldiers,  description  of,  438. 

Discharge  of  patient,  record  of,  450. 

Diseases,  nomenclature  of,  446, 455. 

Dismissal  of  patient,  record  of,  431, 450. 

Disposition  of  patient,  record  of,  433, 450, 451. 

Duty,  line  of,  448,  449. 

Duty,  return  to,  of  patient,  460. 

Entries  on,  how  made,  434. 

Extension  slips,  434. 

Files,  432. 

Furlough  of  patient,  record  of,  450. 

Index  to,  432. 

Intercurrent  diseases,  record  of,  446, 449. 

Leave  of  absence  of  patient,  record  of,  428, 460. 

Length  of  service  of  patient,  442. 

MUitia  patients,  description  of,  438. 

Name  of  patient,  record  of,  437. 


liegister  of  Patients — Continued. 

Nativity  of  patient,  record  of,  441. 

Place  of  treatment,  quarters  or  hospital,  447. 

Place  of  treatment,  ward,  210. 

Race  of  patient,  440. 

Rank  of  patient,  438. 

Regiment  of  patient,  438. 

Register  numbers,  432,  443. 

Resignation  of  patient,  record  of,  450. 

Retirement  of  patient,  record  of,  450. 

Senior  medical  officer  responsible  for,  435. 

Signatures  to,  435. 

Supplemental  cards,  436,  464. 

Surgical  operations,  record  of,  449. 

Transfer  of  patients,  record  of,  210,  450. 

Treatment,  days  of,  table,  454. 
Register,  Sypliliittc: 

Provisions  concerning,  200. 
Repairs: 

Furniture,  522. 

Hospital  bedding  and  clothing,  266,  269,  523. 

Hospital  buildings,  245,  246. 

Instruments,  521. 
"Replacing  Medical  Supplies": 

Appropriation,  510. 
Reports  and  Retains: 

List  of  those  required  in  i)eace,  398. 

List  of  those  required  in  war,  558. 

See  also  Records,  Reports,  and  Returns. 
Reports,  MIscellaneons: 

Births  and  deaths,  401. 

Civilian  employees,  see  Civilian  Employees. 

Deaths,  218,  219,  401. 

Dental  work,  473. 

Documents,  useless,  426. 

Epidemic  diseases,  201  to  203. 

Examining  boards,  contract  surgeons,  53. 

Examining  boards.  Dental  Corps,  23,  24,  30. 

Examining  boards.  Hospital  Corps,  35. 

Examining  boards.  Medical  Corps,  6. 

Examining  boards.  Medical  Reserve  Corps,  16, 17, 

General  hospitals,  condition  of  patients,  287. 

Hospital  buildings,  or  quarters  for  sergeants,  first 
class,  Hospital  Corps,  progress  of  work  on,  245. 

Hospital  Corps,  changes  of  stations  or  status,  45, 
46,  47,  219. 

Hospital  Corps,  instruction,  164, 178, 180. 

Hospital  safe,  change  of  combination,  247. 

Inspections,  sanitary,  373,  374,  626,  747,  748,  827. 

List  of  sick  and  wounded,  575  to  584, 

Meteorological,  527. 

Morning  reports  of  sick,  208. 

Nurse  Corps,  60,  67,  69,  75,  76,  98  to  100. 

Patients,  daily,  in  the  field,  558. 

Personal,  see  Personal  Reports. 

Posts,  abandoiunent|,of,  426, 

Sanitary  persoimel  and  transportation  in  the 
field,  daily,  558. 

Sanitary  personnel  on  transports,  424. 

Special,  421,  422, 

Surgical,  418  to  420. 

See  also  Records  and  Returns. 
Reports  of  Sick  and  Wounded: 

Alterations  of,  460,  463,  464. 

Authentication  of,  460,  463,,  464. 


382 


INDEX. 


Reports  of  Sick  and  Wounded— Continued. 
Births,  record  of,  459. 
Commands,  Srom  what  required,  458. 
Correction  cards,  463,  464. 
Corrections,  460, 462  to  464. 
Deaths,  record  of,  459. 
Department  surgeon's  action,  461. 
General  provisions  concerning,  457  to  464. 
Marriages,  record  of,  459. 
Signatures,  459. 

Transmittalof,  time  and  channel,  458. 
See  also  List  of  Sick  and  Wounded. 

RequisltioBs: 

Annual  reqmsitions,  post  supplies,  477  to  481. 

Base  medical  supply  depots,  551. 

Blank  forms  and  books,  960  to  965. 

Blank  forms  in  the  theater  of  operations,  551. 

Clinical  thermometers,  845  note. 

Coal,  486. 

Combat,  replenishment  in,  551. 

Dental  supplies,  491  to  495. 

Department  surgeons,  action  of,  481, 487, 489, 492. 

Divisional  troops,  552. 

Division  surgeon,  action  of,  552. 

Electric  current ,  486. 

Emergency  requisitions,  485,  487, 496. 

Evacuation  ambulance  companies,  562. 

Evacuation  hospitals,  552. 

Field  medical  supplies,  489,  490,  504. 

Field  organizations,  general  provisions,  551  to  553. 

Gas,  486. 

Identification  supplies,  486. 

Line  of  communications,  551,  552. 

Medical  supply  oflacers,  action  of,  488, 

Meteorological  instruments,  527. 

Mineral  oil,  486. 

Nomenclature,  475. 

Photographic  apparatus,  486. 

Post  medical  supplies,  annual  and  special,  477  to 
488. 

Service  of  the  interior,  troops  in,  553. 

Special  requisitions,  field  supphes,  490. 

Special  requisitions,  post  supplies,  482  to  488. 

Subposts  and  camps,  486. 

Surgeon,  advance  group,  action  of,  552. 

Surgeon,  base  group,  action  of,  352. 

Theater  of  operations,  troops  in,  552. 

Unserviceable  property,  replacement,  486, 

Window  shades,  845  note. 
Reserve  Nurses: 

General  provisions,  102. 

See  also  Nurse  Corps. 
Rest  Stations: 

Duties  of,  780,  781. 

Equipment  for,  7S1. 

Line  of  communications,  780, 781. 

Location,  618,  781. 
Personnel  of,  61H,  780, 781. 
Service  of  interior,  618. 
Restraint  Apparatus: 

Contents  of,  90-1. 
Resumd  of  the  Sanitary  SerTlce  la  War: 

Combat,  836. 

Concentration  camps,  833. 
Equipment  of  troops,  831,  832. 


Resume  of  the  Sanitary  Service  in  War— Contd. 

Evacuation  of  wounded,  835  to  839. 
Line  of  communications,  838. 
Lines  of  aid,  836  to  839. 
Mobilization,  Organized  Militia,  832. 
Mobilization,  Regular  Army,  831. 
Physical  examinations,  831,  832. 
Prophylactic  measures,  831,  832. 
Replacement  of  losses,  840. 
Supplies  for  the  front,  835,  839,  841. 
Training  at  concentration  camps,  833. 
Training  at  mobilization  camps,  832. 
Zone  of  the  advance,  835. 
Retired  Officers  and  Enlisted  Men: 
Assigned  to  active  duty,  and  on  register  of  pa- 
tients, 448. 
Treatment  at  Army  and  Navy  General  Hospital, 

321,  322  to  324,  329. 
Treatment  at  Fort  Bayard,  335,  338. 
Retirement: 
Dental  surgeons,  20. 
Medical  Reserve  Corps,  14. 
Physical  examinations  for,  387. 
Record  of,  on  register  of  patients  and  reports  of 
sick  and  wounded,  428,  431,  460. 
Returns: 
Casualties,  558,  579. 
Dental  property,  508. 

Field  supplies,  507. 
Hospital  Corps,  50, 180. 

Hospital  fund  property,  260  to  262. 

List  of  those  required  in  peace,  398. 

List  of  those  required  in  war,  558. 

Medical  property,  general  provisions,  507,  508. 
(See  also  Returns  of  Medical  Property.) 

Meteorological  instruments,  527. 

Nurse  Corps,  98. 

Ordnance  property,  398. 

Quartermaster  Corps  property,  398,  558. 

See  also  Records,  Reports,  and  Returns. 
Returns  of  Medical  Property: 

Army  Medical  School,  141. 

Broken  packages,  503. 

Complete  transfers,  507. 

Complete  transfers  to  be  receipted  for  on  return, 
497. 

Dental  supplies,  508. 

Destroyed  to  prevent  contagion,  230. 

Directions  for  preparing,  475. 

Expended,  lost,  or  destroyed,  502. 

Field  supplies,  607. 

Field  supplies  on  memorandum  receipt,  504. 

Found  at  post,  501. 

Issued  for  personal  use,  507. 

Medical  supply  officers,  380. 

Portable  dental  outfit,  annually,  507. 

Received  with  patients,  227. 

Surgical  appliances  with  men  discharged  from 
service,  229. 
Revietr,  Boards  of: 

Law  establishing,  2. 
Saddle,  Pack: 

Accessories,  953. 

Boxes  for  use  with,  909. 
Safe,  Hospital: 

Combination  of,  247. 


INDEX. 


383 


Salesi 

Accounts  of,  509,  510. 

Civilians  and  cMlian  employees,  meUicines  for, 
242  to  244. 

Civilians  in  hospital,  abandoned  effects  of,  226. 

Hospital  fund  property,  248,  259. 
Sanitary  Establishments  and  Formations: 

Guards  for,  550. 

Insignia  of,  545. 

See  also  Sanitary  Personnel  and  Sanitary  Service; 
also  for  the  several  kinds  of  formations,  their 
respective  designations. 
Sanitary  Inspections: 

Divisions,  744,  746. 

I4ne  of  communication  units,  827. 

Posts,  by  sanitary  inspectors,  373. 

Posts,  by  surgeons,  182,  414  to  417. 

Regiments,  by  surgeons,  634. 

Service  of  interior  units,  626. 

Troop  trains,  590. 
Sanitary  Inspectors: 

Department,  371  to  374. 

Division,  746  to  750. 

Line  of  communications,  827. 

Service  of  the  interior,  626. 
Sanitary  Mat€rlel: 

Captured,  548. 

Insignia  of,  546. 

Status  of  in  war,  548,  549. 

See  also  Medical  Supplies. 
Sanitary  Personnel: 

Conduct  of,  to  insure  immunity,  54?, 

Distribution  of,  in  war,  153. 

General  enumeration  of,  532. 

Immunities  in  war,  547. 

Insignia  of,  542. 

Number  of,  allowed,  585. 

Required  in  war,  153. 

Status  of,  547. 

Training  necessary,  148,  149,  627. 

See  also  the  several  imits  under  their  respective 
designations. 
Sanitary  Reports: 

By  department  sanitary  inspectors,  373,  374. 

By  division  sanitary  inspectors,  747,  748. 

By  surgeons  of  posts  or  commands,  182,  198,  202, 
412,  4Uto416. 
Sanitary  Service  in  War: 

Correspondence,  reports,  returns,  and  records, 
556  to  584. 

Duties  of  department  surgeons,  366,  593,  594. 

Duties  of  the  Medical  Department,  531. 

Efficiency  of,  148,  149,  627  to  629. 

Field  service,  branches  of,  528,  529. 

Guards  for,  550. 

Individual  voluntary  aid,  537  to  541. 

Insignia  of  personnel,  formations,  and  mat^-lel, 
542  to  546. 

Line  of  communications,  751  to  827. 

Medical  supplies,  551  to  555. 

Objects  of  Medical  Department,  530. 

Organization  in  war,  585,  586. 

Organized  voluntary  aid,  535,  536. 

Personnel  of,  532. 

R^simi^  of  operations,  831  to  841. 

Service  of  interior,  587  to  626. 


Sanitary  Service  In  War— Continued. 

Status  of  sanitary  personnel  and  mat6riel,  547  to 
549. 

Theater  of  operations,  administration  of,  828  to 
830. 

Titles  of  medical  oflScers,  634. 

Zone  of  the  advance,  630  to  760. 

See  also  Sanitary  Personnel  and  the  several  Medi- 
cal   Department    organizations    imder    their 
respective  names. 
Sanitary  Squads: 

Provisions  concerning,  586,  750,  774  to  777. 
Sanitary  Train: 

Ambulance  companies  on  the  march,  721. 

Camp  infirmaries  on  the  march,  723,  724. 

Command  of,  661,  716. 

Composition  of,  651. 

Control  of,  717  to  720. 

Distribution  of  elements  of,  on  themttfchand  in 
camp,  717  to  724. 

Division  sm-geon's  relation  to,  716. 

Field  hospitals  on  the  march,  722. 

In  combat,  725,  ^26. 
Sanitary  Troops: 

Persons  included  by  the  term,  532. 

See  also  Sanitary  Personnel  and  Sanitary  Service; 
also  the  several  Medical  Department  units  im- 
der  their  respective  names. 
Sanitary  Troops  on  Duty  wltti  Line  Oi^aniza- 
tions: 

General  provisions,  631  to  650. 

See  also  Regimental  Medical  Service. 
Sanitation: 

Direct  responsibility  of  commanding  oflScers,  362. 

Duties  of  medical  officers  in  regard  to,  182, 183. 

General  provisions  concerning,  182  to  203. 

Infectious  diseases,  183  to  200. 

Medical  officers  to  act  as- sanitary  advisers,  362. 

Mobilization  camps,  594. 

Sanitary  detachments,  634. 

Sanitary  squads,  750,  774  to  777. 
Schools: 

Army  Field  Service  and  Correspondence,  147. 

Army  Medical,  136  to  146. 
Seamen,  Transport  Service: 

Allowances  in  Army  hospitals,  250. 
Sergeants,  and  Sergeants  First  Class,   Hospital 
Corps: 

General  provisions,  34  to  36. 

See  also  Hospital  Corps. 
Serums: 

Allowances,  see  Supply  Tables. 

Purchase  of,  843  note. 

Requisitions  for,  843  note. 

To  be  kept  at  depots  on  line  of  communications, 
891  note. 
Service  Kits: 

Hospital  Corps,  865. 
Service  of  Hospitals: 

General  provisions,  205  to  279. 

See  also  Hospital  Service. 
Service  of  the  Interior: 

Description  of,  528,  529. 

General  provisions  concerning,  587  to  591. 
Shell-Wound  Dressing: 

Contents  of,  946. 


384 


INDEX. 


Ships  for  Patients: 

Provisions  concerning,  619  to  625,  769,  772. 
See  also  Hospital  Ships. 
Sick  and  Wounded: 
Bed  capacity,  necessary  in  war,  153. 
Care  in  handling  of,  689. 
Classification  of,  628,  762,  826. 
Disposition  of,  on  tlie  march,  638,  641,  TOO. 
Estimated  number  in  war,  152, 153. 
Records  of,  in  peace,  427  to  464. 
Records  of,  in  war,  567  to  584. 
Sick  CaU: 
At  concentration  camps,  601. 
At  divisional  camps,  665. 
At  mobilization  camps,  597. 
Provisions  concerning,  206  to  208. 
Sick  Report,  DaUy: 

Diseases  due  to  misconduct,  207. 
Smallpox: 
Report  of  appearance  of,  201  to  203. 
Vaccination  for,  88, 192. 
Soldiers: 

See  Enlisted  Men. 
Soldiers'  Home: 
Beneficiaries  of,  treatment  at  Fort  Basrard,  337, 
340. 
Special  Reports: 
General  provisions  concerning,  421  to  423. 
Patients  in  general  hospitals,  287. 
Specimens,  Laboratory: 
Containers  for,  355. 

Preservation  and  transportation  of,  135, 191,  362, 
355. 
Spinal  Fluid: 

For  diagnostic  purposes,  352. 
Sputum: 

Laboratory  examination  of,  352. 
Squads,  Sanitary: 

Provisions  concerning,  586,  750,  774  to  777. 
Statements  of  the  Hospital  Fund: 

Provisions  concerning,  260  to  262. 
Stations  for  Slightly  Wounded: 
Closing,  715. 

Defensive  engagements,  726. 
Diagnosis  tags,  use  of,  at,  713. 
Equipment  and  supplies  for,  666,  710. 
Establishment  and  number  of,  712. 
Evacuation  of,  714. 
Function  of,  711,713. 
General  provisions  concerning,  710  to  715. 
List  of  sick  and  wounded  at,  580,  713. 
Location  of,  712. 
Marldng  of,  712. 
Offensive  engagements,  727. 
Opening,  712. 
Personnel  of,  710. 
Rear  guard  actions,  730.  739. 
Records,  reports,  and  returns.  580.  713. 
Sick  to  bo  assembled  at,  before  battle,  727. 
Treatment  at,  character  of.,  713. 
StaUons,  ReHi: 

Provisions  concerning,  618,  780,  781. 
SterilizN'  Chest: 
Contents  of,  935. 
Stomach  Contents: 
Laboratory  examination  of,  352. 


Subsistence: 

Army  and  Navy  General  Hospital,  patients  at, 

328  to  332. 
Bayard,  Fort,  patients  at,  339  to  343. 
Civilian  employees,  103,  105,  106. 
Hospital  matrons,  265  to  269. 
Militia  officers  at  Army  Medical  School,  145. 
Nurse  Corps,  81,  328. 
Red  Cross  personnel,  536. 
Seamen  of  Transport  Service,  250. 
Subsistence  Stores: 
Purchase  of,  at  Army  and  Navy  General  Hos= 
pital,  332. 
Superintendent,  Nnrse  Corps; 
General  provisions,  57. 
See  also  Nurse  Corps. 
Supplemental  Cards: 
For  register  of  patients  and  reports  of  sick  and 
wounded,  436,  464. 
Supplies,  Dental: 
Supply  table,  849  to  856. 
See  also  Dental  Supplies. 
Supplies,  General  Hospitals: 

Provisions  concerning,  286. 
Supplies,  Medical: 
See  Medical  Property,  Medical  Supplies,  Sanitary 
Materiel,  and  Supply  Tablet 
Supplies,  Quartermaster: 

See  Quartermaster  Supplies. 
Supply  OflBcers: 
General  provisions,  380. 
See  also  Medical  Supply  Officers. 
Supply  Table,  Dental: 
Additional  supplies,  856. 
Base  outfits,  855. 
Chests,  849. 
Portable  outfits,  854. 
Supply  Table,  Field: 
Abbreviations  explained,  862. 
Advance  depots,  895. 
Ambulance  companies,  874  to  877. 
Base  hospitals,  891,  892. 
Base  medical  supply  depots,  8»4. 
Blank  forms,  emergency  supply,  886. 
Camp  hospitals,  886. 
Camp  infirmaries,  809,  870. 
Camp  infirmary  reserve,  871. 
Chief  surgeon,  field  army,  901. 
Division  surgeon's  office,  884,  885. 
Dressing  stations,  874,  875. 
Evacuation  ambulance  companies,  806. 
Evacuation  hospitals,  891,  892. 
Field  hospitals,  879  to  882. 
Field  laboratories,  896. 
Horse  equipments,  Hospital  Corps,  943. 
Hospital  Corps,  individual  equipment,  865. 
Hospital  ships,  898. 
Hospital  trains,  899. 

Medical  officers,  individual  equipment,  864. 
Quartermaster  suppliers,  Equipment  Tables, Q.  M. 

Supplies  will  govern,  861. 
Quartermaster  supplies,  reasons  for  including, 

861. 
Regimental  combat  equipment,  866,  867. 
Regimental  hospitals,  872. 
Reserve  medical  unit,  891. 


INDEX. 


385 


Supply  Table,  Field— Continaed. 

Sliips  for  patients,  898. 

Surgeon,  base  group,  office,  901. 

Trains  for  patients,  898. 

See  also  Field  Medical  Supplies. 
Supply  Table,  Post: 

Antiseptics,  843. 

Disinfectants,  843. 

Identification  supplies,  847. 

Laboratory  supplies,  846. 

Medicuies,  843. 

Miscellaneous,  845. 

Nonofflcial  compound   medicinal  preparations, 
formulfe  of,  902. 

Population,  official,  for  computing  allowances, 
842. 

Stationery,  844. 

X-ray  supplies,  848. 
Surgeon,  Advance  Grosp: 

Duties  of,  823  to  825. 

Function  of,  821,  822. 

Relation  to  surgeon,  base  group,  820. 

Requisitions  for  medical  supplies,  action  on,  652. 
Snrg'eon,  Base  Group: 

Civilian  employees,  may  engage,  819. 

Contagious  disease  hospitals,  establishment  of, 
767. 

Duties,  general,  817  to  819. 

Duties  when  battle  is  impending,  819. 

Equipment  of  office,  901. 

Hospital  ships,  supervision  of,  769. 

Hospital  trains,  operation  of,  769. 

Red  Cross,  control  of,  819. 

Report  on  campaign,  at  conclusion  of,  561. 

Reports  to  chief  surgeon,  field  army,  819. 

Requisitions  for  medical  supplies,  action  on,  652, 
784,  790,  819. 

Status  of,  817. 

Supplies  at  advance  depot,  788. 

SuppUes,  local  purchase  of,  786,  819. 

Title,  534. 

Voluntary  aid,  individual,  may  accept  and  direct, 
537,  819. 

Voluntary  contributions,   may  accept  and  ex. 
pend,  819. 
Sni^eons,  Ports  of  Embarkation: 

Duties  of,  610. 
Surgical  Dressings: 

Contents  of  ambulance  box  of,  954. 

Contents  of  box  of,  955. 

Replenishment  of,  in  combat,  651,  633. 
Surgical  Instruments: 

See  Instruments. 
Surgical  Operations: 

Record  of,  on  register  of  patients,  448. 

Reports  of,  418  to  420. 
Surgical  Treatment: 

Refusal  of,  220. 
Syphilitic  Register: 

Required,  200. 
Tableware,  Chest  of: 

Contents,  936. 
Teeth,  Classification: 

For  reports  of  dental  work,  471. 

70156°— 18 25 


Tentage: 

Directions  for  loading  on  wagons,  883  note. 
Tetanus: 

Antitoxin  of,  requisitions  for,  843  note. 
Theater  of  Operations: 

Administration  of,  828  to  830. 

Description  of,  528,  529. 

General  provisions,  627  to  629. 
Thermo-Cautery,  Paquelin's: 

Contents  of,  957. 
Thermometers,  Clinical: 

Requisitions  for,  845  note. 
Throat,  Ear,  and  Nose,  Instmment  Case  for: 

Contents  of,  912. 
Tissues: 

Laboratory  examination  of,  352. 
Titles: 

Medical  officers,  534. 
Tool  Chests: 

Contents  of  No.  1,  937. 

Contents  of  No.  2,  938. 
Tooth-Extracting  Case: 

Contents  of,  925. 
Training: 

Of  Hospital  Corps,  156,  157. 

Of  medical  officers,  148  to  153, 157. 

Red  Cross,  535. 

ResponsibiUty  of  medical  officers  concerning,  148, 
156,  363. 

See  also  Instruction. 
TraLas  for  Patients: 

Litter  fittings  for  box  cars,  900. 

Provisions  concerning,  613  to  617,  709  to  771. 

See  also  Hospital  Trains. 
Trains  for  Troops: 

Medical  inspection  of,  590. 
Trains,  Hospital: 

See  Hospital  Trains. 
Transfer  Cards: 

Provisions  concermng,  209,  215  to  217,  583,  584. 
Transfers: 

Civihan  employees,  113, 117, 118. 

Hospital  Corps,  45  to  49. 

Malarial  cases,  197. 

Medical  supplies,  4%  to  500. 

Meteorological  instruments,  527. 

Nurse  Corps,  74  to  77. 

Patients,  214  to  217,  583,  584. 

Sjrphilitic  cases,  200. 

Vaccination,  incomplete  cases  of,  187, 193. 

Venereal  cases,  whether  or  not  on  sick  report,  198. 
Transportation,  Medical  Department: 

Allowance  of,  for  field  units,  585. 

Authority  over,  549. 

Immunity  from  capture,  549. 

Impressment  of,  629,  823. 

Increased  provisions  of,  for  evacuation  of 
wounded,  629,  809,  823. 

Not  to  be  diverted,  549. 

Rail,  inspection  of,  590. 

Temporary,  after  battle,  etc.,  629,  823. 

Use  of,  for  medical  supplies,  549. 

See  also  Ambulances,  Hospital  Ships,  Hospital 
Trains,  Ships  for  Patients,  and  Trains  for 
Patients. 


386 


INDEX. 


Transportation  of  Medical    Property  and    Sup. 
piles: 

Capacity  of  railway  cars,  876  note. 

Hospital  ships  may  be  used  for,  624. 

Medical  Department  transportation  to  be  used 
for,  549,  554. 

Railway  cars  required  for  an  ambulance  con^- 
pany,  876. 

Railway  cars  required  for  a  field  hospital,  881. 

Specimens  for  Army  Medical  Museum,  135. 

Wheeled  transportation  provided  for  equipment 
".\"only,  860. 
Transportation  of  the  Sick  and  Wonnded: 

Additional  transport  required,  629,  687,  809,  823. 

Chief  task  of  field  medical  administration,  530, 
627. 

From  the  aid  stations,  679,  680. 

From  the  base  hospitals,  762,  763. 

From  the  battle  field  to  the  aid  stations,  645,  647- 

From  the  dressing  stations,  671,  682,  685,  686,  690' 

From  the  evacuation  hospitals,  801,  802,  819,  825. 

From  the  field  hospitals,  699,  700,  704,  706  to  708, 
744,  807,  808,  811,  812,  822. 

From  the  station  for  slightly  wounded,  714. 

On  Unes  of  commimication,  754,  819,  822,  823. 

On  the  march,  638,  639. 

Service  of  the  interior,  588. 

See  also  Amlmlances  and  Transportation,  Medical 
Department. 
Transport  Service: 

Duties  of  medical  superintendents  and  surgeons, 
381. 

Medical  superintendents  to  report  Medical  De- 
partment personnel  on,  424. 

Seamen  of,  in  hospital,  250. 

Siu-geons,   ports  of  embarkation,   as    medical 
superintendents  of,  610. 
Traveling  Expenses: 

See  Expenses,  Traveling. 
Trial  Lenses,  Case  of: 

Contents  of,  926. 
Troop  Trains: 

Sanitary  inspection  of,  590. 
Tuberculin: 

Use  of,  334. 
Tuberculosis: 

Treatment  of,  at  Fort  Bayard,  334. 
Typewriters: 

Packing  of,  524. 

Riljbons,  requisitions  for,  845  note. 
Typhoid  Fever: 

Bile  medium  for  cultures,  191, 352. 

Blood  for  diagnosis,  184. 

Care  of,  184, 185. 

Diagnosis  from  paratyphoid,  190. 

Release  of  cases,  185. 

Reports  of  cases,  189,  201  to  203. 

Vaccinations  for,  88, 186'to  188. 

See  also  Vaccination. 
Urine: 

For  diagnostic  purposes,  191, 352. 
Vaccination,  Antlsraallpox: 

At  concentration  camps,  599. 

At  mobiUzation  camps,  594. 

Civilians,  192. 

Enlisted  men,  192. 


Vaccination,  Antismallpox — Continued, 

Method  of  performing,  194. 

Nurses,  88. 

Officers,  192. 

Records  of,  193,  594. 
Vaccination,  Antityphoid: 

At  concentration  camps,  599. 

At  mobilization  camps,  594. 

Civilian  emploj-ecs,  186. 

Enlisted  men,  186. 

Method  of  administration,  186. 

Nurses,  88. 

Officers,  180. 

Records  of,  187,  188,  594. 

See  also  Typlioid  Fever. 
Vaccines: 

Requisitions  for,  843  note. 
Valuables  of  Patients: 

Provisions  concerning,  221  to  226,279,293,301,303. 
Venereal  Diseases: 

Care  of,  198. 

Daily  sick  report,  marking  of,  207. 

Inspections  to  detect,  198. 

List  of  cases  to  be  kept,  198. 

Orders  concerning,  198. 

Records  of,  198, 199,  200. 

Sj-philitic register,  200. 
Venereal  Prophylaxis  Unit: 

Contents  of,  958. 
Vision: 

Examinations  of,  397. 

Record  of  errors  of,  on  register  of  patients,  456. 
Vision  Test  Set: 

Contents  of,  959. 
Voluntary  Aid: 

Individual,  153,  537,  541. 

Organized,  153,  535,  536. 
Volunteer  Medical  Officers: 

Appointment  of,  14. 
Volunteers: 

Physical  examinations  for  commissions  in,  385. 

Use  of,  in  war,  587. 
Von  Pirquet  Reaction: 

Use  of,  334. 
Vouchers: 

For  hospital  laundry,  271,  272,  274,  277,  278. 

For  purchases,  378,  476. 

Seamen,  Transport  Service,  sul)sistence  of,  250. 
Wardmasters: 

Duties,  general,  279. 

Duty,  to  list  eflects  of  patients,  221, 

See  also  Hospital  Rules. 
Ward  Morning  Reports: 

Provisions  concerning,  210,  211. 
Wards: 

In  general  hospitals,  308  to  310. 

See  also  Hospital  Rules. 
Watchmen: 

Duties  of,  279,  305,  306. 

Employment  of,  103,  108, 113. 

In  general  hospitals,  305,  306. 
Water,  Examination  of: 

Bacteriological,  358. 

Chemical,  359. 

Collection  of,  356  to  359. 

Reports  concerning,  356, 360. 


INDEX. 


387 


Water  Supply: 

Inspection  of,  on  trains  for  troops,  590. 

Supervision  of,  by  sanitary  detachments,  634. 
Weights  and  Measures: 

Metric  system  to  be  used  on  prescriptions,  240. 

Supply  tables  to  be  followed,  475. 
Window  Shades  and  Fixtures: 

Requisitions  for,  845  note. 
Wounded: 

See  Sick  and  Wounded. 


Wounds: 

Record  of,  on  register  of  patients,  446,  455,  456. 
Zone  of  the  Advance: 

Classification  of  the  sanitary  service  of,  630. 

Description  of,  529. 

Mission  of  the  sanitary  service  of,  628. 

Replenishment  of  supplies,  858. 
Zone  of  the  Line  of  Communications: 

See  Line  of  Communications. 


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